Active NPI
Total Renal Care Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Aberdeen, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- TOTAL RENAL CARE INC
- Doing business as
- Moccasin Creek Dialysis
- Practice address
- 3313 SE 6TH Ave
Aberdeen, SD 57401-5504 - Phone
- (605) 225-7344
- Fax
- (605) 225-1698
- NPI assigned
- Jul 22, 2016
- 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 | Primary |
Addresses
Primary practice location
3313 SE 6TH Ave
Aberdeen, SD 57401-5504
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437502614 | Medicaid | SD |
Other names 1
- Moccasin Creek Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160922001803 | SD | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8426965229 | Practice locations: Aberdeen, SD |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Moccasin Creek Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 20, 2016
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 8
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2119357 | Moccasin Creek Dialysis | Certificate of waiver | Sep 25, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Davita Upstate Dialysis
Organizations with this tax ID in the same state 5
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gregory, SD
- NPI 1184711061
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sioux Falls, SD
- NPI 1033178660
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rosebud, SD
- NPI 1356301519
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Watertown, SD
- NPI 1366538514
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mitchell, SD
- NPI 1699860833
Locations
3313 6th Ave SE
Aberdeen, SD 57401
Phone (605) 225-7344
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Sioux Falls, SD
- NPI 1134336340
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1437502614",
"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": "3313 SE 6TH AVE",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574015504",
"telephone_number": "605-225-7344",
"fax_number": "605-225-1698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-22",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437502614",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Moccasin Creek Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.