NPIMap

Organization Active NPI

St. Thomas Dialysis Center,LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St, Thomas, VI
National Provider Identifier
1881028645
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
261QE0700X Issued in VI
Legal business name
ST. THOMAS DIALYSIS CENTER,LLC
Practice address
8268 Crown Bay Center161A Subbase
BLDG B
St, Thomas, VI 00802
Phone
(305) 318-3169
Fax
(800) 706-5141
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Mr. Rudel Alanzo Chinnery Jr., MBA, HCM
Title
President/ Ceo
Phone
(703) 930-0046

Specialties & licenses 1

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

Addresses

Primary practice location

8268 Crown Bay Center161A Subbase
BLDG B
St, Thomas, VI 00802

Mailing address

8268 Crown Bay Center161A Subbase
BLDG B
St, Thomas, VI 00802-1707
Phone (703) 930-0046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1881028645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8268 CROWN BAY CENTER161A SUBBASE",
            "address_2": "BLDG B",
            "city": "ST, THOMAS",
            "state": "VI",
            "postal_code": "008021707",
            "telephone_number": "703-930-0046",
            "fax_number": "301-375-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 CROWN BAY CENTER161A SUBBASE",
            "address_2": "BLDG B",
            "city": "ST, THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "305-318-3169",
            "fax_number": "800-706-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. THOMAS DIALYSIS CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "CHINNERY",
        "authorized_official_first_name": "RUDEL",
        "authorized_official_middle_name": "ALANZO",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "703-930-0046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA, HCM"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "VI",
            "license": "261QE0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.