Southwest Kidney Dialysis, LLC

Primary specialty

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

Legal business name

SOUTHWEST KIDNEY DIALYSIS, LLC

Practice address

337 E Coronado Rd
Suite 101
Phoenix, AZ 85004-1580

Phone

(480) 610-6100

Fax

(480) 610-6195

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Michelle R. Mauvais

Title

Chief Financial Officer

Phone

(480) 610-6110

Specialties & licenses 1

Addresses

Other names 1

• Southwest Kidney Dialysis - Phoenix Doing business as

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.

• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008

  Member Of

  NPD member

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1336155753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6110",
            "fax_number": "602-253-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E CORONADO RD",
            "address_2": "SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041580",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MAUVAIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "480-610-6110"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Kidney Dialysis - Phoenix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Kidney Davita Dialysis Partners LLC
• Southwest Kidney Davita Dialysis Partners LLC
• Southwest Kidney Davita Dialysis Partners LLC
• Southwest Kidney Davita Dialysis Partners, LLC
• Southwest Kidney Davita Dialysis Partners, LLC
• Southwest Kidney Dialysis, LLC
• Southwest Kidney Institute Phoenix LLC
• Southwest Kidney Institute Scottsdale LLC
• Southwest Kidney Institute, PLC
• Southwest Kidney North Phoenix LLC

• All providers in Phoenix, AZ
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.