Active NPI
Richard L Devillez, M.D.
- Dermatology Physician
- Corpus Christi, TX
National Provider Identifier
1720078660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E 0324
- Practice address
- 4141 S Staples St # 300
Corpus Christi, TX 78411-2155 - Phone
- (316) 882-5560
- Fax
- (316) 882-6011
- NPI assigned
- Oct 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | E 0324 | TX | Primary |
Addresses
Primary practice location
4141 S Staples St # 300
Corpus Christi, TX 78411-2155
Mailing address
4141 S Staples St # 300
Corpus Christi, TX 78411-2155
Phone (316) 882-5560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E 0324 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Dermatology Center, Inc. | Dermatology | Past | Accepting new patients |
| Wellmed Medical Group, PA | Dermatology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Wasilla, AK
- NPI 1821093550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1720078660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 S STAPLES ST # 300",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112155",
"telephone_number": "316-882-5560",
"fax_number": "316-882-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 S STAPLES ST # 300",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112155",
"telephone_number": "316-882-5560",
"fax_number": "316-882-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVILLEZ",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-23",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "E 0324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.