Organization Active NPI

Delta Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orlando, FL
National Provider Identifier
1487422630
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DELTA DIALYSIS LLC
Practice address
900 Plymouth Ave
Orlando, FL 32805-3744
Phone
(407) 824-1014
Fax
(407) 247-6910
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Ndidi Nwamu, DONPI 1023273588
Title
Ceo
Phone
(407) 457-7808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

900 Plymouth Ave
Orlando, FL 32805-3744

Mailing address

900 Plymouth Ave
Orlando, FL 32805-3744
Phone (407) 451-1208

National Provider Directory

National Provider Directory

Locations

900 Plymouth Ave
Orlando, FL 32805
Phone (407) 482-4101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1487422630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PLYMOUTH AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053744",
            "telephone_number": "407-451-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PLYMOUTH AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328053744",
            "telephone_number": "407-824-1014",
            "fax_number": "407-247-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "NWAMU",
        "authorized_official_first_name": "NDIDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-457-7808",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.