NPIMap

Organization Active NPI

Capes Dialysis LLC

Doing business as Little Rock Midtown Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
National Provider Identifier
1265850275
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
04D0947575 Issued in AR
Legal business name
CAPES DIALYSIS LLC
Doing business as
Little Rock Midtown Dialysis
Practice address
1423 Pacific Ave
Tacoma, WA 98402-4203
Phone
(253) 382-1752
NPI assigned
Apr 7, 2014
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Kent Thiry, CHAIRMAN
Title
Ceo
Phone
(303) 876-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 04D0947575 AR Primary

Addresses

Primary practice location

1423 Pacific Ave
Tacoma, WA 98402-4203

Mailing address

2 Lile CT
Ste 102a
Little Rock, AR 72205-6221
Phone (501) 221-3123

Other identifiers 1

IdentifierTypeStateIssuer
190059134MedicaidAR

Other names 1

  • Little Rock Midtown Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capes Dialysis LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1265850275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LILE CT",
            "address_2": "STE 102A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056221",
            "telephone_number": "501-221-3123",
            "fax_number": "501-221-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024203",
            "telephone_number": "253-382-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPES DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "THIRY",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-876-6000",
        "authorized_official_credential": "CHAIRMAN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AR",
            "license": "04D0947575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190059134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Rock Midtown Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.