Pible Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

12Y763 Issued in CO

Legal business name

PIBLE DIALYSIS LLC

Doing business as

Sable Dialysis

Practice address

509 N Sable Blvd
Aurora, CO 80011

Phone

(303) 366-9458

Fax

(303) 364-9206

NPI assigned

Sep 19, 2012

Last updated

Feb 14, 2025By 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

Samuel T. Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Sable Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pible Dialysis LLC

  dba West Lakewood Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lakewood, CO
  • NPI 1134547383

  2264689264

  Same PAC ID

Tax ID family

Pible Dialysis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pible Dialysis LLC

  dba West Lakewood Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lakewood, CO
  • NPI 1134547383
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  dba Emporia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Emporia, KS
  • NPI 1033528708

  Member Of

  NPD member

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1750632592",
    "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": "509 N SABLE BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "303-366-9458",
            "fax_number": "303-364-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIBLE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "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": "CO",
            "license": "12Y763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sable Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sable Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Therapy Accident Solutions LLC (Ptas)
• Physiotherapy Associates Inc (Select Physical Therapy)
• Physiovation P.C.
• Eric Piacenza, M.D.
• Christopher Michael Piatz, MD
• Alexandra Jordan L Picht
• Ralph Pickard, M.D.
• Caitlin Pickering
• Laura L. Pickler, MD
• Robert Gordon Picone, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.