Active NPI
Dallas VA Medical Center
- Rehabilitation Hospital Unit
- Dallas, TX
National Provider Identifier
1831308261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 646183
- Legal business name
- DALLAS VA MEDICAL CENTER
- Practice address
- 4500 S Lancaster Road
Dallas, TX 75216 - Phone
- (214) 857-1763
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Dennis Aldridge
- Title
- Staff RN
- Phone
- (214) 857-1763
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 646183 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Road
Dallas, TX 75216
Mailing address
5200 Town and Country
Apt 513
Frisco, TX 75034
Phone (214) 886-8950
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831308261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 TOWN AND COUNTRY",
"address_2": "APT 513",
"city": "FRISCO",
"state": "TX",
"postal_code": "75034",
"telephone_number": "214-886-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER ROAD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75216",
"telephone_number": "214-857-1763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS VA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALDRIDGE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "STAFF RN",
"authorized_official_telephone_number": "214-857-1763",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "TX",
"license": "646183",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.