Active NPI
Frontier Dialysis, LLC
Doing business as Pelican Point Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Las Vegas, NV
National Provider Identifier
1861875585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FRONTIER DIALYSIS, LLC
- Doing business as
- Pelican Point Dialysis
- Practice address
- 7316 W Cheyenne Ave
Las Vegas, NV 89129-6201 - Phone
- (702) 395-0227
- Fax
- (702) 395-1540
- NPI assigned
- Jun 30, 2015
- Last updated
- Nov 20, 2023
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
7316 W Cheyenne Ave
Las Vegas, NV 89129-6201
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Phone (615) 341-6814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861875585 | Medicaid | NV |
Other names 1
- Pelican Point Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150720003348 | NV | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7911210919 | Practice locations: Las Vegas, NV |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Pelican Point Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 5, 2017
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 25
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2314678 | Pelican Point Dialysis | Certificate of waiver | Nov 24, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cerritos Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cerritos, CA
- NPI 1255681011
Member Of
Locations
7316 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 395-0227
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Las Vegas, NV
- NPI 1699707463
-
- Nephrology Physician
- Las Vegas, NV
- NPI 1356513063
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1861875585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPARTMENT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-341-6814",
"fax_number": "800-293-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7316 W CHEYENNE AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891296201",
"telephone_number": "702-395-0227",
"fax_number": "702-395-1540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRONTIER DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-30",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861875585",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pelican Point Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Las Vegas, NV
- Alina Frometa Vega
- Maria Frometa-Betancourt
- Gladys Gongora Frondarina-Beltran, APRN
- Patricia Fronta
- Carlos Juan Frontera Sr., PCA
- Frontier Rheumatology and Arthritis Center PLLC
- Frontline Medical Group LLC
- Frontline Therapy Solutions
- Frontline Wellness and Recovery LLC
- Frontliners Home Health of Las Vegas,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.