Organization Active NPI

Dialysis Access Center of Cincinnati, Inc.

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1467098715
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DIALYSIS ACCESS CENTER OF CINCINNATI, INC.
Practice address
4805 Montgomery Rd Ste 140
Cincinnati, OH 45212-2281
Phone
(513) 631-4555
Fax
(513) 631-5546
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DIALYSIS ACCESS CENTER OF CINCINNATI, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Antoine L Samaha, MD
Title
President
Phone
(513) 487-5305

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

4805 Montgomery Rd Ste 140
Cincinnati, OH 45212-2281

Mailing address

4600 Montgomery Rd Ste 105
Cincinnati, OH 45212-2600
Phone (513) 487-5305

National Provider Directory

National Provider Directory
Tax ID family
Dialysis Access Center of Cincinnati Inc3 organizations share this tax ID, including this one
Part of
Dialysis Access Center of Cincinnati Inc

Other organizations with this tax ID 2

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

Locations

4805 Montgomery Rd
Ste 140
Norwood, OH 45212
Phone (513) 487-5305

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1467098715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "513-487-5305",
            "fax_number": "513-487-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 140",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122281",
            "telephone_number": "513-631-4555",
            "fax_number": "513-631-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS ACCESS CENTER OF CINCINNATI, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIALYSIS ACCESS CENTER OF CINCINNATI, INC",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "SAMAHA",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-487-5305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.