Wayne Veal, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14633 Issued in MI

Practice address

12645 Gratiot Ave
Detroit, MI 48205-3952

Phone

(313) 527-1140

Fax

(313) 527-9022

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gratiot Dental PC

  • Dentist
  • Detroit, MI
  • NPI 1073702478
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1659535722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12645 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053952",
            "telephone_number": "313-527-1140",
            "fax_number": "313-527-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12645 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053952",
            "telephone_number": "313-527-1140",
            "fax_number": "313-527-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donielle Janece Vaughn
• Evelyn Grace Vaughn, R.N.
• Dwight Carlton Vaughter, LMSW, ACSW
• Renee Marie Vazquez
• Dennis Veal
• Stephanie Vear
• Viviana Mihaela Veber, RN
• Barbara Ann Vecchioni, RN
• Rohan Pankaj Ved, DO
• Sai Shouri Prasad Vedati, MD

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.