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JUAN C VIDALES DC
NPI 1023602406
Chiropractor in Richardson, TX

Active since February 25, 2021Accepts Medicare Assignment
850 S GREENVILLE AVE STE 104, RICHARDSON, TX 75081(972) 644-6336(972) 644-7247 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Feb 25, 2021 (2 updates tracked since 2021).

About Juan C Vidales Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN C VIDALES DC (NPI 1023602406) is an individual chiropractor in Richardson, Texas, licensed in Texas (15543) and active in the NPI registry since February 2021. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1023602406
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJUAN C VIDALESCredential: DC
Location Address850 S GREENVILLE AVE STE 104Richardson, TX 75081-5046
Mailing Address850 S Greenville Ave Ste 104Richardson, TX 75081-5046 · (972) 644-6336 · Fax (972) 644-7247
Phone(972) 644-6336
Fax(972) 644-7247
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 25, 2021
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
✔ NPI 1023602406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in TX · 15543✔ Licensed in AZ · 9039
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
850 S GREENVILLE AVE STE 104, Richardson, TX 75081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan C Vidales Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810304573
PECOS Enrollment IDI20241212003121

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORENA ACEVEDO DC
Chiropractor
850 S GREENVILLE AVE STE 104
RICHARDSON, TX 75081
Dallas County (972) 644-6336
JUAN PARK D.C.
Chiropractor
850 S GREENVILLE AVE STE 104
RICHARDSON, TX 75081
Dallas County (972) 644-6336
DR. KELLY BEN LANCASTER DC
Chiropractor
850 S GREENVILLE AVE STE 104
RICHARDSON, TX 75081
Dallas County (972) 644-6336
PATRIC CHARLES FUN DC
Chiropractor
850 S GREENVILLE AVE STE 104
RICHARDSON, TX 75081
Dallas County (972) 644-6336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Vidales's NPI number?

The NPI number for Juan Vidales is 1023602406. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Juan Vidales located?

Juan Vidales practices at 850 S Greenville Ave Ste 104, Richardson, TX 75081. The listed phone number is (972) 644-6336.

What is Juan Vidales's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Juan Vidales enrolled in Medicare?

Yes. Juan Vidales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Juan Vidales accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Providence Health Plan and UnitedHealthcare list Juan Vidales as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Vidales was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.