Veterans Administration

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

Legal business name

VETERANS ADMINISTRATION

Practice address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone

(214) 857-1748

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Cresent MendezNPI 1992889778

Title

Physician Assistant

Phone

(214) 857-1748

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 45186E

Legal name

VETERANS ADMINISTRATION HOSPITAL

Certification status

Active

Provider type (POS)

Hospital

Participating since

Jan 10, 1994

Last certification

Jan 10, 1994

Beds

622 (484 certified)

Facility address

4500 S Lancaster Rd
Dallas, TX 75216

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cresent Mendez Jr.

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1992889778
  NPD (past) Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619989936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 BUTTERFLY LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "CRESENT",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "214-857-1748"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elizabeth Postma Vertin
• Sara Rose Vesneski, PTA
• Bennyka Vessel, FNP-C
• Abbye Vessell, OTR/L
• Christopher J Vesy, M.D.
• Veterans Affairs Hospital
• Veterans Affairs North Texas Health Care System
• Veterans Affairs North Texas Health Care System
• Veterans Room
• Oommen Cherian Vettiyil

• VA Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• VA Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.