Active NPI
Chantry Dialysis, LLC
Doing business as Sandia Peak Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CHANTRY DIALYSIS, LLC
- Doing business as
- Sandia Peak Dialysis
- Practice address
- 10410 Copper Point Way NE
Albuquerque, NM 87123-1158 - Phone
- (505) 299-0657
- Fax
- (505) 299-6686
- NPI assigned
- Aug 10, 2017
- Last updated
- Jul 9, 2026
- 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
- Samuel T Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
10410 Copper Point Way NE
Albuquerque, NM 87123-1158
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74036050 | Medicaid | NM |
Other names 1
- Sandia Peak Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170824002873 | NM | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 0749552750 | Practice locations: Albuquerque, NM |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Sandia Peak Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 23, 2018
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 12
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2140596 | Sandia Peak Dialysis | Certificate of waiver | Nov 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cerritos Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cerritos, CA
- NPI 1255681011
Member Of
-
dba Kenwood Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1831896364
Member Of
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Del Norte Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Albuquerque, NM
- NPI 1386016541
Member Of
Locations
10410 Copper Point Way NE
Albuquerque, NM 87123
Phone (505) 299-0657
Networks
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1033634175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10410 COPPER POINT WAY NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871231158",
"telephone_number": "505-299-0657",
"fax_number": "505-299-6686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANTRY DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-10",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74036050",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sandia Peak Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.