Organization Active NPI

Silver Spring Artificial Kidney Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1215917802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
E2596 Issued in MD
Legal business name
SILVER SPRING ARTIFICIAL KIDNEY CENTER, LLC
Practice address
8630 Fenton St
Suite 238
Silver Spring, MD 20910-3806
Phone
(301) 563-6808
Fax
(301) 563-6865
NPI assigned
Jan 19, 2006
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
Ms. Vicki L Burrier, RN, MBA
Title
Director/Vice-President
Phone
(954) 474-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X E2596 MD Primary

Addresses

Primary practice location

8630 Fenton St
Suite 238
Silver Spring, MD 20910-3806

Mailing address

7061 Cypress Rd
Suite 104
Plantation, FL 33317-2243
Phone (954) 474-7701

Other identifiers 1

IdentifierTypeStateIssuer
4414540MedicaidDC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215917802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 CYPRESS RD",
            "address_2": "SUITE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172243",
            "telephone_number": "954-474-7701",
            "fax_number": "954-474-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 238",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-563-6808",
            "fax_number": "301-563-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRING ARTIFICIAL KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRIER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/VICE-PRESIDENT",
        "authorized_official_telephone_number": "954-474-7701",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MD",
            "license": "E2596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4414540",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

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.