Premier Dialysis Inc

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

License

0068138 Issued in TX

Legal business name

PREMIER DIALYSIS INC

Practice address

1414 W. Wheatland Road
Suite 102
Duncanville, TX 75116

Phone

(972) 709-1950

Fax

(972) 709-1949

NPI assigned

May 2, 2006

Last updated

Jun 26, 2009By 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

Dennis Cleveland Jones

Title

President

Phone

(972) 709-1950

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1740248624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 382970",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751382970",
            "telephone_number": "972-709-1950",
            "fax_number": "972-709-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W. WHEATLAND ROAD",
            "address_2": "SUITE 102",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75116",
            "telephone_number": "972-709-1950",
            "fax_number": "972-709-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "CLEVELAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-709-1950"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "TX",
            "license": "0068138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH6484",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160043901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531717",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.