Red Rocks Dialysis LLC

Primary specialty

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

Legal business name

RED ROCKS DIALYSIS LLC

Doing business as

U.S Renal Care Crownpoint Dialysis

Practice address

Junction of Hway 371 & Route 9
Crownpoint, NM 87313

Phone

(505) 786-5280

NPI assigned

Oct 10, 2008

Last updated

Feb 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S Renal Care Crownpoint Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Red Rocks Dialysis LLC

  dba U.S Renal Care Zuni Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Zuni, NM
  • NPI 1477704997

  8325196066

  Same PAC ID
• Red Rocks Dialysis, LLC

  dba U.S Renal Care Gallup Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gallup, NM
  • NPI 1710137534

  8325196066

  Same PAC ID
• Red Rocks Dialysis, LLC

  dba U.S Renal Care Gallup PD Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gallup, NM
  • NPI 1780915298

  8325196066

  Same PAC ID

Tax ID family

Red Rocks Dialysis LLC4 organizations share this tax ID, including this one

Part of

US Renal Care Inc

Other organizations with this tax ID 3

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

• Red Rocks Dialysis LLC

  dba U.S Renal Care Zuni Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Zuni, NM
  • NPI 1477704997
  NPD tax ID
• Red Rocks Dialysis, LLC

  dba U.S Renal Care Gallup Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gallup, NM
  • NPI 1710137534
  NPD tax ID
• Red Rocks Dialysis, LLC

  dba U.S Renal Care Gallup PD Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gallup, NM
  • NPI 1780915298
  NPD tax ID

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1366693186",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUNCTION OF HWAY 371 & ROUTE 9",
            "city": "CROWNPOINT",
            "state": "NM",
            "postal_code": "87313",
            "telephone_number": "505-786-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCKS DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2008-10-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "93037856",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S Renal Care Crownpoint Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunday Oyedele Oyewo, PHARM.D.
• Michelle Lucy Perales, OD
• Angelena P Perry, MSW
• Alexandra Podosek
• Pueblo Pintado Health Center
• Roy Salcido, LADAC
• Carla J Sand, M.D
• Cody Schneider, RN
• Ragheb Senan, RN
• Mavis Smith

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Crownpoint, NM
• Providers in Crownpoint, NM by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.