Dva Renal Healthcare Inc

Primary specialty

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

Legal business name

DVA RENAL HEALTHCARE INC

Doing business as

Heartland Dialysis

Practice address

925 NE 8TH St
Oklahoma City, OK 73104-5800

Phone

(405) 236-3043

Fax

(405) 239-2390

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Tax ID family

Gambro Healthcare Anahe173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dva Renal Healthcare Inc

  dba Lexington OK Prison

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oklahoma City, OK
  • NPI 1043441710
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Hoppock-Smith, MS, RD, LD

  • Renal Nutrition Registered Dietitian
  • Oklahoma City, OK
  • NPI 1871132928
  NPD (past)
• Michelle Dianne Shultz, R.D., L.D.

  • Registered Dietitian
  • Oklahoma City, OK
  • NPI 1558320804
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1093777344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 8TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045800",
            "telephone_number": "405-236-3043",
            "fax_number": "405-239-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100726120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgeann Nigh Duty, MS, LPC
• Eric John Duval, D.O.
• Katie Lee Duzan-Osborn
• Dva Healthcare Renal Care Inc (Oklahoma City South Dialysis)
• Dva Renal Healthcare Inc (Lexington OK Prison)
• Alex Agyei Dwuma, MD
• Harlee Nicole Dwyer, MD
• Stacy Lea Dwyer, APRN-CNP
• D. Scott Dycus, D.O.
• William Dycus, PH.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.