Dialysis Centers of Dayton, LLC

Primary specialty

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

Legal business name

DIALYSIS CENTERS OF DAYTON, LLC

Practice address

1111 Sweitzer St
Suite B
Greenville, OH 45331-1189

Phone

(937) 499-8850

Fax

(937) 223-9615

NPI assigned

Nov 14, 2005

Last updated

Aug 29, 2012By 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

Jayme Nicole Hansen

Title

Controller

Phone

(937) 499-8850

Specialties & licenses 1

Addresses

Other identifiers 3

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Miami Valley Hospital

  dba Miami Valley Hospital - Psych

  • Psychiatric Hospital Unit
  • Dayton, OH
  • NPI 1003986423

  Member Of

  NPD member

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": "1679555932",
    "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": "454021813",
            "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": "1111 SWEITZER ST",
            "address_2": "SUITE B",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311189",
            "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2413641",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000287485",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6820003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Deitsch, PHARMD. RPH.
• Delong, Peterson & Associates, Clinical Consulting Specialists, LLC
• Ronald Lee Delong, PH.D.
• Sarah Michele Depoy, LSW
• Lindsay Desantis
• Michelle Marie Dickey, P.T.A.
• Meagan Dinh, DDS
• Amber J Dishman, SLP
• Sylvia A. Ditmars
• Samantha D. Ditmer, SLP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greenville, OH
• Providers in Greenville, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• 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.

Verify at the official NPI Registry.