Organization Active NPI

Dayton Regional Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Huber Heights, OH
National Provider Identifier
1063486314
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
0422DC Issued in OH
Legal business name
DAYTON REGIONAL DIALYSIS INC
Practice address
7211 Shull Rd
Huber Heights, OH 45424-1234
Phone
(937) 237-2000
Fax
(937) 237-5630
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mr. Michael L Sobecki
Title
Ceo
Phone
(937) 312-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0422DC OH Primary

Addresses

Primary practice location

7211 Shull Rd
Huber Heights, OH 45424-1234

Mailing address

7700 Washington Village Dr
Suite 220
Dayton, OH 45459
Phone (937) 438-0099

Other identifiers 1

IdentifierTypeStateIssuer
0648026MedicaidOH

National Provider Directory

National Provider Directory

Locations

7211 Shull Rd
Huber Heights, OH 45424
Phone (937) 237-2000

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1063486314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-438-0099",
            "fax_number": "937-438-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 SHULL RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241234",
            "telephone_number": "937-237-2000",
            "fax_number": "937-237-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON REGIONAL DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SOBECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-312-6551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0422DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0648026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.