City of Detroit

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CITY OF DETROIT

Practice address

3245 E Jefferson Ave Ste 100
Detroit, MI 48207-4222

Phone

(313) 876-4710

Fax

(313) 876-0177

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joneigh Khaldun, MD

Title

Medical Director

Phone

(313) 876-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Detroit Health Department Doing business as
• Department of Health and Wellness Promotion Other name

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598825440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 TAYLOR ST",
            "address_2": "ROOM 349C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021732",
            "telephone_number": "313-876-4710",
            "fax_number": "313-876-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 E JEFFERSON AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074222",
            "telephone_number": "313-876-4710",
            "fax_number": "313-876-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KHALDUN",
        "authorized_official_first_name": "JONEIGH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "313-876-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4456991",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detroit Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Department of Health and Wellness Promotion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• City of Detroit
• City of Detroit
• City of Detroit
• City of Detroit
• City of Detroit
• City of Detroit
• City of Detroit
• City of Detroit
• City of Detroit
• City Pharmacy LLC

• Public Health or Welfare Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Public Health or Welfare Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.