Active NPI
Advanced Dialysis Center, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lanham, MD
National Provider Identifier
1609904267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ADVANCED DIALYSIS CENTER, LLC
- Practice address
- 9320 Annapolis Rd
Suite 200
Lanham, MD 20706-3100 - Phone
- (301) 577-1007
- Fax
- (301) 577-1006
- NPI assigned
- Mar 2, 2007
- Last updated
- Aug 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Terri Jenkins, RN
- Title
- Ceo
- Phone
- (301) 577-1007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
9320 Annapolis Rd
Suite 200
Lanham, MD 20706-3100
Mailing address
700 Toll House Ave
Frederick, MD 21701-4575
Phone (301) 577-1007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1609904267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 TOLL HOUSE AVE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014575",
"telephone_number": "301-577-1007",
"fax_number": "301-577-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 ANNAPOLIS RD",
"address_2": "SUITE 200",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063100",
"telephone_number": "301-577-1007",
"fax_number": "301-577-1006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DIALYSIS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-577-1007",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.