Active NPI
Dca of Rockville LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
National Provider Identifier
1790748200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DCA OF ROCKVILLE LLC
- Doing business as
- U S Renal Care Rockville Dialysis
- Practice address
- 11800 A Nebel St
Rockville, MD 20852-2549 - Phone
- (301) 468-3221
- Fax
- (301) 468-3253
- NPI assigned
- Apr 7, 2006
- Organization subpart
- Yes
- Parent organization
- U S RENAL CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas L Weinberg
- Title
- Vice President & Secretary
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
11800 A Nebel St
Rockville, MD 20852-2549
Mailing address
PO Box 19119
Jonesboro, AR 72403-6601
Phone (870) 931-5400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406661800 | Other | MD | KIDNEY DISEASE PROGRAM |
| 406661800 | Medicaid | MD | |
| 036965500 | Medicaid | MD |
Other names 1
- U S Renal Care Rockville Dialysis
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
11800 Nebel St
Unit A
Rockville, MD 20852
Phone (301) 468-3221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382659200000",
"number": "1790748200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19119",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724036601",
"telephone_number": "870-931-5400",
"fax_number": "870-931-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 A NEBEL ST",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208522549",
"telephone_number": "301-468-3221",
"fax_number": "301-468-3253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DCA OF ROCKVILLE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U S RENAL CARE INC",
"enumeration_date": "2006-04-07",
"last_updated": "2013-10-25",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
"authorized_official_telephone_number": "214-736-2700",
"authorized_official_name_prefix": "Mr."
},
"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": "KIDNEY DISEASE PROGRAM",
"identifier": "406661800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406661800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036965500",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "U S Renal Care Rockville Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.