NPIMap

Organization Active NPI

Richard L. Vera MD, PA

  • Pain Medicine (Anesthesiology) Physician
  • Grapevine, TX
National Provider Identifier
1932293602
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
J1583 Issued in TX
Legal business name
RICHARD L. VERA MD, PA
Practice address
1615 Lancaster Dr
Ste #150
Grapevine, TX 76051-2111
Phone
(817) 421-0279
Fax
(817) 416-7490
NPI assigned
Oct 3, 2006
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Richard L Vera, MDNPI 1003866377
Title
Owner
Phone
(817) 421-0279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X J1583 TX Primary

Addresses

Primary practice location

1615 Lancaster Dr
Ste #150
Grapevine, TX 76051-2111

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907
Phone (800) 394-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100708000822 TX Part B Supplier - Clinic/Group Practice 9133190051 Receives reassigned benefits from 29 practitioners
Practice locations: Grapevine, TX; Southlake, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1932293602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "800-394-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 LANCASTER DR",
            "address_2": "STE #150",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512111",
            "telephone_number": "817-421-0279",
            "fax_number": "817-416-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. VERA MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-421-0279",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J1583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.