Southwest Kidney Dialysis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

3623 Issued in AZ

Legal business name

SOUTHWEST KIDNEY DIALYSIS, LLC

Practice address

5222 E Baseline Rd
Suite 104
Gilbert, AZ 85234-2963

Phone

(480) 832-6996

Fax

(480) 832-7337

NPI assigned

May 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery Weintraub

Title

Chief Executive Officer

Phone

(480) 610-6100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Sierra Vista, AZ
  • NPI 1891933560

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487603478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843494",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 E BASELINE RD",
            "address_2": "SUITE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342963",
            "telephone_number": "480-832-6996",
            "fax_number": "480-832-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST KIDNEY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-610-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "3623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Endoscopy & Surgicenter LLC
• Southwest Endoscopy LLC
• Southwest Ep Clinic
• Southwest Financial Strategies, LLC
• Southwest Kidney Davita Dialysis Partners LLC (Gilbert Dialysis Center)
• Southwest Skin Laboratory PLLC
• Southwest Smiles, LLC
• Southwest Sports Medicine & Orthopaedic Surgery Clinic, LTD.
• Southwest Trans LLC
• Southwest Urologic Specialists, PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.