NPIMap

Organization Active NPI

Adventist Dialysis Services

  • Clinic/Center
  • Rockville, MD
National Provider Identifier
1679570378
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADVENTIST DIALYSIS SERVICES
Practice address
1801 Research Blvd
Suite 300
Rockville, MD 20850-3152
Phone
(301) 315-3450
Fax
(301) 315-3000
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Richard A Marizan
Title
Director, Central Business Office
Phone
(301) 315-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD Primary

Addresses

Primary practice location

1801 Research Blvd
Suite 300
Rockville, MD 20850-3152

Mailing address

1801 Research Blvd
Suite 300
Rockville, MD 20850-3152
Phone (301) 315-3450

Other identifiers 1

IdentifierTypeStateIssuer
408123400MedicaidMD

Other names 1

  • ADVENTIST SENIOR LIVING SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1679570378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RESEARCH BLVD",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503152",
            "telephone_number": "301-315-3450",
            "fax_number": "301-315-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RESEARCH BLVD",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503152",
            "telephone_number": "301-315-3450",
            "fax_number": "301-315-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST DIALYSIS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MARIZAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, CENTRAL BUSINESS OFFICE",
        "authorized_official_telephone_number": "301-315-3272"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408123400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVENTIST SENIOR LIVING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.