Organization Active NPI

Dallas Vamc

  • Psychiatric Hospital
  • Dallas, TX
National Provider Identifier
1831291087
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
DALLAS VAMC
Practice address
4500 S Lancaster Rd
116
Dallas, TX 75216-7167
Phone
(214) 857-0837
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Elsie Withersppoon, R.N.
Title
Staff Nurse
Phone
(214) 857-0837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

4500 S Lancaster Rd
116
Dallas, TX 75216-7167

Mailing address

1211 Holly Glen Dr
Dallas, TX 75232
Phone (214) 371-3956

National Provider Directory

National Provider Directory

Locations

4500 S Lancaster Rd
#116
Dallas, TX 75216
Phone (214) 857-0766

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1831291087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HOLLY GLEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75232",
            "telephone_number": "214-371-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "address_2": "116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "WITHERSPPOON",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "214-857-0837",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.