Active NPI
Weston Dialysis Center LLC
Doing business as Weston Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Weston, FL
National Provider Identifier
1699743930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- WESTON DIALYSIS CENTER LLC
- Doing business as
- Weston Dialysis Center
- Practice address
- 2685 Executive Park Dr
Ste 1
Weston, FL 33331-3651 - Phone
- (954) 389-1290
- Fax
- (954) 384-8207
- NPI assigned
- Mar 11, 2006
- Last updated
- Apr 8, 2026
- 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
2685 Executive Park Dr
Ste 1
Weston, FL 33331-3651
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913447 00 | Medicaid | FL |
Other names 1
- Weston Dialysis 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 |
|---|---|---|---|---|
| O20040721001313 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4183604051 | Practice locations: Weston, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Weston Dialysis Center
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 21, 2004
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 15
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1026181 | Weston Dialysis Center | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Weston Pharmacy
- Clinic Pharmacy
- Weston, FL
- NPI 1770687162
Member Of
-
dba Central Fort Worth Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Worth, TX
- NPI 1699041152
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sherman, TX
- NPI 1316901036
Member Of
Networks
- HealthSun Health Plans Network
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775606400000",
"number": "1699743930",
"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": "2685 EXECUTIVE PARK DR",
"address_2": "STE 1",
"city": "WESTON",
"state": "FL",
"postal_code": "333313651",
"telephone_number": "954-389-1290",
"fax_number": "954-384-8207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTON DIALYSIS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-11",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"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": "8913447 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Weston Dialysis Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Weston Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.