Active NPI
Clayton Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Arlington, TX
National Provider Identifier
1922373554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CLAYTON DIALYSIS LLC
- Practice address
- 642 Lincoln SQ
Arlington, TX 76011-4896 - Phone
- (817) 542-0529
- Fax
- (817) 542-0419
- NPI assigned
- Mar 15, 2012
- 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 | Primary |
Addresses
Primary practice location
642 Lincoln SQ
Arlington, TX 76011-4896
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3385544-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120327000909 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4082874177 | Practice locations: Arlington, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita North Arlington Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- May 21, 2014
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 19
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Donna Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Donna, TX
- NPI 1902353543
Member Of
Locations
642 Lincoln Sq
Arlington, TX 76011
Phone (817) 542-0529
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1331769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1922373554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 LINCOLN SQ",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760114896",
"telephone_number": "817-542-0529",
"fax_number": "817-542-0419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYTON DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-15",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3385544-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.