Active NPI
Winds Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Plano, TX
National Provider Identifier
1417248709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 110082
- Legal business name
- WINDS DIALYSIS LLC
- Practice address
- 5036 Tennyson Pkwy
Plano, TX 75024-3002 - Phone
- (972) 608-1089
- Fax
- (972) 608-1096
- NPI assigned
- Apr 21, 2011
- 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
- Samuel T Wey
- Title
- VP Licensure&Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 110082 | TX | Primary |
Addresses
Primary practice location
5036 Tennyson Pkwy
Plano, TX 75024-3002
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283200801 | Medicaid | TX |
Other names 1
- West Plano Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110513000736 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6103002837 | Practice locations: Plano, TX |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Worth, TX
- NPI 1699041152
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Donna, TX
- NPI 1902353543
Member Of
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
- Garland, TX
- NPI 1114144052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1417248709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5036 TENNYSON PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750243002",
"telephone_number": "972-608-1089",
"fax_number": "972-608-1096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDS DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-21",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP LICENSURE&CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": "110082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283200801",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Plano Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "West Plano Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.