Active NPI
Sands Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Boca Raton, FL
National Provider Identifier
1669747655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SANDS DIALYSIS LLC
- Practice address
- 998 NW 9TH CT
Boca Raton, FL 33486-2214 - Phone
- (561) 392-3940
- Fax
- (561) 395-5663
- NPI assigned
- Mar 9, 2012
- 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
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
998 NW 9TH CT
Boca Raton, FL 33486-2214
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005954300 | Medicaid | FL |
Other names 1
- Boca Raton Artificial Kidney Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120430000554 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5395905988 | Practice locations: Boca Raton, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Delray Beach, FL
- NPI 1194096776
5395905988
National Provider Directory
National Provider Directory- Tax ID family
- Boca Raton Artificial Kidney Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Delray Beach, FL
- NPI 1649247131
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Delray Beach, FL
- NPI 1194096776
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
Networks
- Optimum HealthCare HMO Network
- HealthSun Health Plans Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1669747655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 NW 9TH CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862214",
"telephone_number": "561-392-3940",
"fax_number": "561-395-5663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDS DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-09",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005954300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boca Raton Artificial Kidney Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Boca Raton Artificial Kidney Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.