Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan C Vidales, DC

Individual provider Chiropractor · NPI 1023602406

Juan C Vidales, DC is a Chiropractic in Richardson, Texas. Qualified in 2020, 6 years ago. Practices with Traxler Chiropractic PA, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona and Texas.

Years since qualifying
6
Licensed in
AZ, TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

850 S Greenville Ave Ste 104
Richardson, TX 75081-5046
Phone: (972) 644-6336
Fax: (972) 644-7247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 15543 (TX)
Chiropractor Taxonomy 111N00000X · Licence 9039 (AZ)

Record details

NPI number1023602406
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 25, 2021
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Traxler Chiropractic Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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