Swan Dialysis Services, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SWAN DIALYSIS SERVICES, LLC

Doing business as

Swan Dialysis Services

Practice address

6021 W Cheyenne Ave
Las Vegas, NV 89108-4205

Phone

(702) 396-0220

Fax

(702) 396-8640

NPI assigned

Oct 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Swann

Title

President

Phone

(702) 396-0220

Specialties & licenses 1

Addresses

Other names 1

• Swan Dialysis Services Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922195114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084205",
            "telephone_number": "702-396-0220",
            "fax_number": "702-396-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN DIALYSIS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWANN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-396-0220"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swan Dialysis Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Swain
• Jean-Marie Swaine, APRN
• Kent Alan Swaine, M.D.
• Darin Swainston, M.D.
• Ward Kent Swallow, PH.D.
• Brittany Swan
• Esperanza Swan
• Jean Swan, APN
• Kelly Ann Swan, CADC
• Kylie Swan

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• 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.