Davis Dialysis LLC

Primary specialty

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

Legal business name

DAVIS DIALYSIS LLC

Practice address

5865 Sunnybrook Dr
Sioux City, IA 51106-4203

Phone

(712) 274-8068

Fax

(712) 276-3877

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

John Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sioux City Dialysis Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Northwest Iowa Hospital Corporation

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622

  Member Of

  NPD member
• Renal Treatment Centers-Illinois Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bourbonnais, IL
  • NPI 1073675138

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerold Clancy Erlandson, MD

  • Nephrology Physician
  • Sioux City, IA
  • NPI 1558571497
  NPD (past)

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1982947792",
    "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": "5865 SUNNYBROOK DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-274-8068",
            "fax_number": "712-276-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "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": "1982947792",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sioux City Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sioux City Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David H. Daniels, M.D.
• Danny L Whiting DDS PC
• Breanne Allen Danzi
• Lynda Darling, CADC
• David Van Wagner MD PC
• Austin Davis, TLMHC
• Cody Lee Davis, D.C.
• Evan M Davis, MD
• Mark Edward Davis, CNP
• Morgan Davis, CADC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sioux City, IA
• Providers in Sioux City, IA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.