Capitol Dialysis, LLC

Primary specialty

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

Legal business name

CAPITOL DIALYSIS, LLC

Practice address

3333 Wisconsin Ave NW
Washington, DC 20016-3807

Phone

(202) 362-1511

Fax

(202) 362-0111

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher T Ford

Title

President/Ceo

Phone

(978) 922-3080

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Capital Dialysis - Northwest Doing business as

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205944915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CHERRY HILL DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151054",
            "telephone_number": "978-922-3080",
            "fax_number": "978-922-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163807",
            "telephone_number": "202-362-1511",
            "fax_number": "202-362-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "978-922-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "800303300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017725500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Dialysis - Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capitol Clinical Dental Services, PLLC
• Capitol Clinical Dental Services, PLLC
• Capitol Dentists
• Capitol Dialysis LLC
• Capitol Dialysis, LLC
• Capitol Endodontics PLLC
• Capitol Eyes Inc.
• Capitol Heal Psychotherapy PLLC
• Capitol Health Management Services, LLC
• Capitol Health Services PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in District of Columbia

• 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.