Active NPI
Green Desert Dialysis LLC
Doing business as Desert Springs Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 4681ESR-1
- Legal business name
- GREEN DESERT DIALYSIS LLC
- Doing business as
- Desert Springs Dialysis
- Practice address
- 2110 E Flamingo Rd Ste 108
Las Vegas, NV 89119-5191 - Phone
- (702) 696-9768
- Fax
- (702) 791-6926
- NPI assigned
- Jun 11, 2006
- Last updated
- Mar 30, 2026
- 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 | 4681ESR-1 | NV | Primary |
Addresses
Primary practice location
2110 E Flamingo Rd Ste 108
Las Vegas, NV 89119-5191
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427090828 | Medicaid | NV |
Other names 1
- Desert Springs Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070809000739 | NV | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2567553274 | Practice locations: Las Vegas, NV |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Desert Springs Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 25, 2007
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 18
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cerritos Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cerritos, CA
- NPI 1255681011
Member Of
Locations
2110 E Flamingo Rd
Ste 108
Las Vegas, NV 89119
Phone (702) 696-9768
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Las Vegas, NV
- NPI 1588019384
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774828800000",
"number": "1427090828",
"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": "2110 E FLAMINGO RD STE 108",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195191",
"telephone_number": "702-696-9768",
"fax_number": "702-791-6926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN DESERT DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"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": "NV",
"license": "4681ESR-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427090828",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Springs Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Desert Springs Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.