Dialysis Clinic Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

DIALYSIS CLINIC INC.

Practice address

1851 Crest Rd
Suite B
Maryville, TN 37804-4304

Phone

(865) 983-2212

Fax

(865) 983-0905

NPI assigned

Mar 19, 2012

Last updated

Oct 4, 2023By 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. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ritu Khanna, MD 47959

  • Nephrology Physician
  • Knoxville, TN
  • NPI 1619139383
  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1548535974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032990",
            "telephone_number": "615-327-3061",
            "fax_number": "615-329-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 CREST RD",
            "address_2": "SUITE B",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044304",
            "telephone_number": "865-983-2212",
            "fax_number": "865-983-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528632",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Megan Denton, FNP
• Ashley Lynn Desmith
• Juliana Marie Devine, LMSW
• Tonya Deynzer
• Dialysis Clinic Inc.
• Kelly L Dickens, LCSW
• Matthew Braden Dill, PHARMD
• Andrea Dishner, NP
• Jared Dix, OD
• Terri Lynn Dobson

• Nephrology Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.