Active NPI
Dialysis Centers of Dayton, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dayton, OH
National Provider Identifier
1639150907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYSIS CENTERS OF DAYTON, LLC
- Practice address
- 455 Turner Rd
Dayton, OH 45415-3630 - Phone
- (937) 499-8850
- Fax
- (937) 223-9615
- NPI assigned
- Nov 14, 2005
- 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
- Jayme Nicole Hansen
- Title
- Controller
- Phone
- (937) 499-8850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
455 Turner Rd
Dayton, OH 45415-3630
Mailing address
136 S. Ludlow St.
Suite 500
Dayton, OH 45402
Phone (937) 499-8850
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6800128 | Other | OH | UNITED HEALTHCARE |
| 000000065135 | Other | OH | BLUE CROSS/BLUE SHIELD |
| 2178665 | Medicaid | OH | |
| 39544 | Other | OH | CARESOURCE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1639150907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 S. LUDLOW ST.",
"address_2": "SUITE 500",
"city": "DAYTON",
"state": "OH",
"postal_code": "45402",
"telephone_number": "937-499-8850",
"fax_number": "937-223-9615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 TURNER RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454153630",
"telephone_number": "937-499-8850",
"fax_number": "937-223-9615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS CENTERS OF DAYTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-14",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "JAYME",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "937-499-8850"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6800128",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000000065135",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2178665",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "39544",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.