Organization Active NPI

John D. Dingell Vamc

  • General Acute Care Hospital
  • Detroit, MI
National Provider Identifier
1104227719
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4401004366 Issued in MI
Legal business name
JOHN D. DINGELL VAMC
Practice address
4646 John R St
Detroit, MI 48201-1916
Phone
(313) 576-3338
NPI assigned
Sep 15, 2014
Organization subpart
Yes
Parent organization
DEPARTMENT OF VETERAN AFFAIRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Norman Lee Theaker
Title
Respiratory Therapist
Phone
(313) 576-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4401004366 MI Primary

Addresses

Primary practice location

4646 John R St
Detroit, MI 48201-1916

Mailing address

4982 Cromwell Rd
Sterling Heights, MI 48310-2086
Phone (586) 770-1034

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0988537John D Dingell Vamc4646 John R C4401, Detroit, MI 48201AccreditationMay 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one
Part of
McDonald Army Health Care Center

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1104227719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 CROMWELL RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102086",
            "telephone_number": "586-770-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. DINGELL VAMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "THEAKER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "313-576-3338"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4401004366",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.