Active NPI
Dialysis Services Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jupiter, FL
National Provider Identifier
1720062425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYSIS SERVICES INC
- Practice address
- 1000 S Old Dixie Hwy
Jupiter, FL 33458-7207 - Phone
- (561) 744-4661
- Fax
- (561) 743-9846
- NPI assigned
- Dec 6, 2005
- 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
- Ms. Marietta Holmes
- Title
- Administrator
- Phone
- (561) 744-4661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1000 S Old Dixie Hwy
Jupiter, FL 33458-7207
Mailing address
1000 S Old Dixie Hwy
Jupiter, FL 33458-7207
Phone (561) 744-4661
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P11420 | Other | BEACON | |
| 62516 | Other | VISTA | |
| 102451 | Other | AVMED | |
| 0856947 | Other | SIGNA | |
| 6870038 | Other | UNITED HEATHCARE | |
| V44 | Other | BCBS, HEALTH OPTIONS | |
| 27 | Other | AMERICA'S HEALTH CHOICE |
Other names 1
- Jupiter Kidney Center Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720062425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S OLD DIXIE HWY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587207",
"telephone_number": "561-744-4661",
"fax_number": "561-743-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S OLD DIXIE HWY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587207",
"telephone_number": "561-744-4661",
"fax_number": "561-743-9846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "MARIETTA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "561-744-4661",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON",
"identifier": "P11420",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "62516",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "102451",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIGNA",
"identifier": "0856947",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEATHCARE",
"identifier": "6870038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS, HEALTH OPTIONS",
"identifier": "V44",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S HEALTH CHOICE",
"identifier": "27",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jupiter Kidney Center Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.