NPIMap

Organization Active NPI

Degray Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tacoma, WA
National Provider Identifier
1467870469
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
04D0466009 Issued in AR
Legal business name
DEGRAY DIALYSIS
Practice address
1423 Pacific Ave
Tacoma, WA 98402-4203
Phone
(253) 382-1752
NPI assigned
Apr 7, 2014
Last updated
Apr 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Kent Thiry, CHAIRMAN
Title
Ceo
Phone
(303) 876-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 04D0466009 AR Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 1184968604 AR

Addresses

Primary practice location

1423 Pacific Ave
Tacoma, WA 98402-4203

Mailing address

312 Professional Park Dr
Ste H
Arkadelphia, AR 71923-5315
Phone (870) 246-3021

Other identifiers 1

IdentifierTypeStateIssuer
200361034MedicaidAR

Other names 1

  • Renal Treatment Ctrs Southeast LP Other name

National Provider Directory

National Provider Directory
Tax ID family
Renal Treatment Centers - Southeast LP137 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1467870469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 PROFESSIONAL PARK DR",
            "address_2": "STE H",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235315",
            "telephone_number": "870-246-3021",
            "fax_number": "870-245-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024203",
            "telephone_number": "253-382-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGRAY DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "THIRY",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-876-6000",
        "authorized_official_credential": "CHAIRMAN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AR",
            "license": "04D0466009",
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AR",
            "license": "1184968604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200361034",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renal Treatment Ctrs Southeast LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.