Liberty Dialysis-Jordan Landing LLC

Primary specialty

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

Legal business name

LIBERTY DIALYSIS-JORDAN LANDING LLC

Doing business as

LIBERTY DIALYSIS - WEST JORDAN

Practice address

3823 W 9000 S Ste D
West Jordan, UT 84088-5604

Phone

(801) 280-4600

Fax

(801) 280-0444

NPI assigned

Sep 14, 2009

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LIBERTY DIALYSIS - WEST JORDAN Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

462545 Liberty Dialysis West Jordan (FMC)CCN 462545

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Sep 8, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Nephrology Associates of Utah LLC

  • Nephrology Physician
  • Salt Lake City, UT
  • NPI 1750473948

  Member Of

  NPD member
• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Marcellus Saka Assiago, MD

  • Nephrology Physician
  • Riverton, UT
  • NPI 1235348897

  Dialysis facility

  Care Compare affiliation Name & address match
• Arasu Gopinath, MD

  • Nephrology Physician
  • South Salt Lake, UT
  • NPI 1811902505

  Dialysis facility

  Care Compare affiliation Name & address match
• Dave Tien, M.D.

  • Nephrology Physician
  • South Salt Lake, UT
  • NPI 1053319657

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1073846655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 W 9000 S STE D",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885604",
            "telephone_number": "801-280-4600",
            "fax_number": "801-280-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 W 9000 S STE D",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885604",
            "telephone_number": "801-280-4600",
            "fax_number": "801-280-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DIALYSIS-JORDAN LANDING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2009-09-14",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "46-2545",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LIBERTY DIALYSIS - WEST JORDAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Leroy, AUD
• Asenaca Torika Lesuma
• Caylen Lewis
• David B Lewis, NCMMT
• Jonathan W. Lewis, D.D.S.
• Life Launch Centers of South Salt Lake
• Life Rehabilitation, LC
• Life Source Chiropractic, PLLC
• Life Track Services Inc.
• Lifecare Specialty

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Jordan, UT
• Providers in West Jordan, UT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.