Active NPI
Dayton Regional Dialysis South Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dayton, OH
National Provider Identifier
1184698433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 0014DC
- Legal business name
- DAYTON REGIONAL DIALYSIS SOUTH INC
- Practice address
- 7700 Washington Village Dr
Suite 100
Dayton, OH 45459 - Phone
- (937) 438-9595
- Fax
- (937) 438-0009
- NPI assigned
- Feb 14, 2006
- Last updated
- Oct 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L Sobecki
- Title
- Ceo
- Phone
- (937) 438-0099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 0014DC | OH | Primary |
Addresses
Primary practice location
7700 Washington Village Dr
Suite 100
Dayton, OH 45459
Mailing address
7700 Washington Village Dr
Suite 220
Dayton, OH 45459
Phone (937) 438-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0925539 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Dayton, OH
- NPI 1417921958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1184698433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 WASHINGTON VILLAGE DR",
"address_2": "SUITE 220",
"city": "DAYTON",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-438-9595",
"fax_number": "937-438-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 WASHINGTON VILLAGE DR",
"address_2": "SUITE 100",
"city": "DAYTON",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-438-9595",
"fax_number": "937-438-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYTON REGIONAL DIALYSIS SOUTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "SOBECKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "937-438-0099",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "OH",
"license": "0014DC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0925539",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
- Dayton Preventive Service
- Dayton Primary & Urgent Care
- Dayton Public Schools
- Dayton Pulmonary and Critical Care, Inc
- Dayton Recovery Project
- Dayton Regional Pain Management, LLC
- Dayton Rehabilitation Institute, LLC
- Dayton Senior Care LLC (Friendship Village ALF)
- Dayton Senior Care LLC (Friendship Village)
- Dayton Skin Surgery Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.