Renown Regional Medical Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

501ESR-9 Issued in NV

Legal business name

RENOWN REGIONAL MEDICAL CENTER

Doing business as

Renown Health Dialysis

Practice address

3310 Goni Rd
Suite 171
Carson City, NV 89706-7917

Phone

(775) 886-6450

Fax

(775) 982-8104

NPI assigned

Jan 26, 2006

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brett Moore

Title

Cfo Acute Care

Phone

(775) 982-6343

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renown Health Dialysis Doing business as

Part of

Renown Regional Medical Ctr

Locations

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1073584322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30006",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895203006",
            "telephone_number": "866-691-0284",
            "fax_number": "866-691-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 GONI RD",
            "address_2": "SUITE 171",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067917",
            "telephone_number": "775-886-6450",
            "fax_number": "775-982-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOWN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO ACUTE CARE",
        "authorized_official_telephone_number": "775-982-6343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NV",
            "license": "501ESR-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001216885",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renown Health Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renown Health Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Lee Reisman, FNP
• Rem Nevada Inc
• Lisa Marie Renner, FNP-C
• Reno Heart Institute Desai PC
• Reno Orthopaedic Clinic, LTD (Reno Orthopedic Center)
• Requeijo-Gamboa Epc Aco LLC
• Retina Consultants of Nevada LLP (Sierra Nevada Eye Center)
• Rubi Reyes Banuelos
• Cesar Israel Reyes Molina
• Fernanda Reyes-Molina

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Carson City, NV
• Providers in Carson City, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.