Dca of Dalton, LLC

Primary specialty

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

Legal business name

DCA OF DALTON, LLC

Practice address

1506 Broadrick Dr
Suite 1
Dalton, GA 30720-3011

Phone

(706) 275-9300

NPI assigned

Jul 4, 2006

Organization subpart

Yes

Parent organization

DIALYSIS CORPORATION OF AMERICA, INC.As reported in NPPES

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

Authorized official

Name

Mr. Stephen Everett

Title

Ceo

Phone

(410) 694-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1679503320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SENATE AVENUE",
            "address_2": "SUITE 300",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112339",
            "telephone_number": "717-730-9701",
            "fax_number": "717-730-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 BROADRICK DR",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-275-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCA OF DALTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIALYSIS CORPORATION OF AMERICA, INC.",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-694-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawana Rochelle Davis, LPN
• April Michelle Dawson
• Penelope Dawson, LPC
• Elizabeth Jean Day, C.N.M.
• Elizabeth Mary Day, PHD
• Karen Maria Deal, NP
• Bryan L Dean, RPH
• Cecile Genevieve Deems, OT
• Wayne Richard Deforest II, OT
• Christopher Brian Delashmitt, D.O.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dalton, GA
• Providers in Dalton, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.