Burton Dialysis LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gladstone, MO
NPI 1801562129 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1801562129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- BURTON DIALYSIS LLC
- Practice address
- 6221 N Chestnut Ave
Gladstone, MO 64119-1821 - Phone
- (816) 648-0018
- Fax
- (816) 648-0050
- NPI assigned
- Aug 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Samuel Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Member of 1
Affiliated clinicians 3
-
Ahmed M Awad, DO
-
Kamel Hatahet, MD
-
Justin Thomas Teiwes, M.D.
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita Happy Rock
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Profit
- Certified
- Jun 1, 2022
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 16
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2238807 | Happy Rock Dialysis | Certificate of waiver | Oct 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220310001444 | MO | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 1658766639 | Practice locations: Gladstone, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
6221 N Chestnut Ave
Gladstone, MO 64119-1821
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other names
- Happy Rock Dialysis
Other providers in Gladstone, MO
- Rebecca Lynn Boren
- Edward B. Brobst
- Amy Ruth Bryan
- Aaron Bumann
- Madison Nicole Burnett
- Angela Cabreza
- Chante Campbell-Nixon
- Curtis Wayne Campbell
- Jeffery Clay Campbell
- Captain Doc LLC
All providers in Gladstone, MO · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.