Individual provider Active NPI

Daniel Valencia-Lopez, DO

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1891256574
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S7976 Issued in TX
Practice address
9 Medical Pkwy Ste 102
Dallas, TX 75234-7852
Phone
(972) 888-4500
Fax
(815) 598-4799
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X S7976 TX Primary

Addresses

Primary practice location

9 Medical Pkwy Ste 102
Dallas, TX 75234-7852

Mailing address

9 Medical Pkwy Ste 102
Dallas, TX 75234-7852
Phone (972) 888-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000964 TX Practitioner - Internal MedicinePractitioner - General Practice 0143640631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group Multi-Specialty CurrentSince Jul 25, 2022 Accepting new patients
Dallas Medical Physician Group Multi-Specialty CurrentSince Jul 25, 2022 Accepting new patients

Locations

9 Medical Pkwy
Ste 102
Farmers Branch, TX 75234
Phone (530) 788-6631

5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505

Interoperability endpoints

  • Direct secure messaging: daniel.valencialopez@hca7.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1891256574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347852",
            "telephone_number": "972-888-4500",
            "fax_number": "815-598-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347852",
            "telephone_number": "972-888-4500",
            "fax_number": "815-598-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA-LOPEZ",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.