Organization Active NPI

Heartland Miami Dialysis LLP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, OK
National Provider Identifier
1689033557
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
HEARTLAND MIAMI DIALYSIS LLP
Practice address
2111 Denver Harner Dr
Miami, OK 74354-4002
Phone
(918) 540-2700
Fax
(918) 540-2931
NPI assigned
Feb 19, 2016
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Julie Ann Williams
Title
Partner
Phone
(417) 358-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2111 Denver Harner Dr
Miami, OK 74354-4002

Mailing address

2111 Denver Harner Dr
Miami, OK 74354-4002
Phone (918) 540-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160531001590 OK Part A Provider - End-Stage Renal Disease Facility (ESRD) 9739479932 Practice locations: Miami, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2109331Heartland Miami Dialysis, LLP2111 Denver Harnar Drive, Miami, OK 74354Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

2111 Denver Harner Dr
Miami, OK 74354
Phone (918) 540-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1689033557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 DENVER HARNER DR",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743544002",
            "telephone_number": "918-540-2700",
            "fax_number": "918-540-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 DENVER HARNER DR",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743544002",
            "telephone_number": "918-540-2700",
            "fax_number": "918-540-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MIAMI DIALYSIS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "417-358-5500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.