Dialysis Centers of Dayton, LLC

Primary specialty

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

Legal business name

DIALYSIS CENTERS OF DAYTON, LLC

Practice address

4700 Springboro Pike
Moraine, OH 45439-1964

Phone

(937) 499-8850

Fax

(937) 223-9615

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Jayme Nicole Hansen

Title

Controller

Phone

(937) 499-8850

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1083695357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S LUDLOW ST",
            "address_2": "SUITE 500",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021813",
            "telephone_number": "937-499-8850",
            "fax_number": "937-223-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRINGBORO PIKE",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391964",
            "telephone_number": "937-499-8850",
            "fax_number": "937-223-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CENTERS OF DAYTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "937-499-8850"
    },
    "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": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000002892",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "13791",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178638",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6820003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredericka L Demmons, CASE MANAGER
• Jesse Dennison, PC-CR, CDCA
• Sarah M Deuser, PA-C
• Helen Colleen Devore
• Adama Diakhate
• Paige Dickerson
• Elias Urban Dickinson
• Dawn Marie Dickman, SWT
• Shawn Dietz, L.S.W.
• Cortney Dillhoff

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moraine, OH
• Providers in Moraine, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.