Active NPI
John D. Dingell Vamc
- General Acute Care Hospital
- Detroit, MI
National Provider Identifier
1104227719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 4401004366
- 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 AFFAIRS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0988537 | John D Dingell Vamc | Accreditation | May 22, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- McDonald Army Health Care Center
- 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.
-
- Home Health Agency
- Gaylord, MI
- NPI 1407127236
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.
-
- Licensed Practical Nurse
- Detroit, MI
- NPI 1730802455
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
- John D. Dingell VA Medical Center
- John D. Dingell VA Medical Center
- John D. Dingell VA Medical Center
- John D. Dingell VA Medical Center
- John D. Dingell Vahcs
- John Dingell Medical Center
- John E. Morrison Jr. DDS PC
- John Haapaniemi& Barry Lesser PTR,Haapaniemi Lesser Associated
- John M Barnwell MD PLLC
- John R. Trotter II MD Medical Services PLLC
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.