Organization Active NPI

Dialyne Company

  • Dialysis Equipment & Supplies (DME)
  • Youngstown, OH
National Provider Identifier
1104803022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
DIALYNE COMPANY
Practice address
100 Federal Plaza E
400 City Centre One
Youngstown, OH 44503-1810
Phone
(330) 743-2666
Fax
(330) 743-3456
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alfred J Fleming Sr.
Title
Authorized Agent
Phone
(330) 743-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X Primary

Addresses

Primary practice location

100 Federal Plaza E
400 City Centre One
Youngstown, OH 44503-1810

Mailing address

100 Federal PLZ E
400 City Centre One
Youngstown, OH 44503-1810
Phone (330) 743-2666

Other identifiers 1

IdentifierTypeStateIssuer
0954927MedicaidOH

National Provider Directory

National Provider Directory

Locations

100 E Federal St
Ste 400
Youngstown, OH 44503
Phone (330) 743-2666

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104803022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FEDERAL PLZ E",
            "address_2": "400 CITY CENTRE ONE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031810",
            "telephone_number": "330-743-2666",
            "fax_number": "330-743-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FEDERAL PLAZA E",
            "address_2": "400 CITY CENTRE ONE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031810",
            "telephone_number": "330-743-2666",
            "fax_number": "330-743-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYNE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "330-743-2666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0954927",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.