Dci of Memphis LLC

Primary specialty

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

Legal business name

DCI OF MEMPHIS LLC

Practice address

7730 Wolf River Blvd Ste 112
Germantown, TN 38138-1737

Phone

(615) 327-3061

Fax

(615) 963-9730

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Willaim E Wood II

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1083371645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032948",
            "telephone_number": "615-342-0498",
            "fax_number": "615-963-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD STE 112",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381737",
            "telephone_number": "615-327-3061",
            "fax_number": "615-963-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCI OF MEMPHIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall A Davis, MD
• Roberta Ruth Davis, SLP
• Michael Elvis Davison, RN
• Louise Anne Harper Dawkins, PT, MPT
• Sarah Elisabeth Dawkins, AU.D.
• David Dean, M.D.
• Julie Dean, DPH
• Marsha Dean, FNP
• Kylee Elise Deckard, PA
• Devin Degreif

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Germantown, TN
• Providers in Germantown, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.