NPIMap

Organization Active NPI

Western New York Artificial Kidney Center Inc

Doing business as Kenmore Dialysis Clinic

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tonawanda, NY
National Provider Identifier
1841416351
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
WESTERN NEW YORK ARTIFICIAL KIDNEY CENTER INC
Doing business as
Kenmore Dialysis Clinic
Practice address
1508 Sheridan Dr
Tonawanda, NY 14217-1212
Phone
(716) 871-9988
Fax
(716) 871-3456
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sidney Anthone, M.D.
Title
President
Phone
(716) 855-3354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1508 Sheridan Dr
Tonawanda, NY 14217-1212

Mailing address

1508 Sheridan Dr
Tonawanda, NY 14217-1212
Phone (716) 871-9988

Other names 1

  • Kenmore Dialysis Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Buffalo Dialysis Clinic2 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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841416351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171212",
            "telephone_number": "716-871-9988",
            "fax_number": "716-871-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171212",
            "telephone_number": "716-871-9988",
            "fax_number": "716-871-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK ARTIFICIAL KIDNEY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONE",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-855-3354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenmore Dialysis Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonawanda, NY

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.

Verify at the official NPI Registry.