NPIMap

Organization Active NPI

Dallas Vamc

  • VA Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1649645672
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
DALLAS VAMC
Practice address
101 New York Ave
Fort Worth, TX 76104-1558
Phone
(615) 355-3451
NPI assigned
Dec 2, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

National Provider Directory

National Provider Directory
Tax ID family
Dallas Vamc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1518 E Lancaster Ave
Ste A
Fort Worth, TX 76102
Phone (817) 255-7141

101 New York Ave
Fort Worth, TX 76104
Phone (469) 316-0622

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

101 New York Ave
Fort Worth, TX 76104-1558

Mailing address

PO Box 94493
Cleveland, OH 44101
Phone (615) 355-3451

Other names 1

NPPES NPI Registry
  • FORT WORTH 1 VA CLINIC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2022.

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1649645672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94493",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44101",
            "telephone_number": "615-355-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NEW YORK AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041558",
            "telephone_number": "615-355-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT WORTH 1 VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FORT WORTH 1 VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.