Dialysis Services of Southeast Alaska LLC

Primary specialty

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

Legal business name

DIALYSIS SERVICES OF SOUTHEAST ALASKA LLC

Practice address

9109 Mendenhall Mall Rd Ste 6
Juneau, AK 99801-7136

Phone

(907) 790-3002

Fax

(907) 790-3014

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Thomas L. Weinberg

Title

Evp & General Counsel

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 2

• Alaska Dialysis - Juneau Doing business as
• REIFENSTEIN DIALYSIS CENTER Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Listed as

Usrc JuneauCCN 022504

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Mar 26, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

9

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ad Partners II, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Anchorage, AK
  • NPI 1316206915

  Member Of

  NPD member

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jeremy J Gitomer, M.D.

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1073509063

  Dialysis facility

  Care Compare affiliation Name & address match
• Mark T. Smith, M.D.

  • Nephrology Physician
  • Anchorage, AK
  • NPI 1861479651

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1215049010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 MENDENHALL MALL RD STE 6",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017136",
            "telephone_number": "907-790-3002",
            "fax_number": "907-790-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS SERVICES OF SOUTHEAST ALASKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EVP & GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Alaska Dialysis - Juneau",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REIFENSTEIN DIALYSIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry B Depute, P.A.-C
• Derek J Larsen
• Marc Desjarlais, DDS
• Charles Henry Detjen, DMD
• Diagnostic Radiology Consultants, PC
• Bendick J Didrickson, CSFW
• Kwame Diehl, MSW
• Diane V Digiulio, PH D
• Savannah Dindinger-Hill, PA-S
• Carly Nicole Dipietro

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Juneau, AK
• Providers in Juneau, AK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.