Active NPI
Dustin Vanderburg
- Home Health Aide
- Detroit, MI
National Provider Identifier
1023925591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 6495098
- Practice address
- 3228 W Philadelphia St
Detroit, MI 48206-2351 - Phone
- (248) 497-0215
- NPI assigned
- Aug 27, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 6495098 | MI | Primary |
Addresses
Primary practice location
3228 W Philadelphia St
Detroit, MI 48206-2351
Mailing address
3228 W Philadelphia St
Detroit, MI 48206-2351
Phone (248) 497-0215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6495098 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1023925591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 W PHILADELPHIA ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482062351",
"telephone_number": "248-497-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3228 W PHILADELPHIA ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482062351",
"telephone_number": "248-497-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERBURG",
"first_name": "DUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MI",
"license": "6495098",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6495098",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.