Active NPI
Community Dialysis Centers, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Windsor Mill, MD
National Provider Identifier
1316989700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- COMMUNITY DIALYSIS CENTERS, INC.
- Practice address
- 2707 N Rolling Rd
Suite 104
Windsor Mill, MD 21244-2157 - Phone
- (410) 277-9101
- Fax
- (410) 277-9001
- NPI assigned
- Jun 12, 2006
- 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
- Shannon Green, RD CDE CSR LDN
- Title
- Operations Coordinator
- Phone
- (410) 277-9101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2707 N Rolling Rd
Suite 104
Windsor Mill, MD 21244-2157
Mailing address
2707 N Rolling Rd
Suite 104
Windsor Mill, MD 21244-2157
Phone (410) 277-9101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404136400 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
2707 N Rolling Rd
Ste 104
Windsor Mill, MD 21244
Phone (410) 277-9101
2707 N Rolling Rd
Ste 104105
Windsor Mill, MD 21244
Phone (410) 277-9101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Catonsville, MD
- NPI 1225013493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1316989700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 N ROLLING RD",
"address_2": "SUITE 104",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212442157",
"telephone_number": "410-277-9101",
"fax_number": "410-277-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 N ROLLING RD",
"address_2": "SUITE 104",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212442157",
"telephone_number": "410-277-9101",
"fax_number": "410-277-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY DIALYSIS CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OPERATIONS COORDINATOR",
"authorized_official_telephone_number": "410-277-9101",
"authorized_official_credential": "RD CDE CSR LDN"
},
"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": "404136400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.