DAVITA DIALYSIS (NPI# 1366704629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366704629 |
| Entity Type | Organization |
| Organization Name | DAVITA DIALYSIS |
| Practice Address |
909 N Topeka St Wichita KS 67214-3620 |
| Practice Telephone | 3162666657 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |
| Authorized Official Name | LINDA FRANCISCO (DIRECTOR) |
| Authorized Official Telephone | 3162666657 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 1387739 | KS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730231382 | Davita Dialysis | Clinic/Center | 53 Scranton Connector, Brunswick, GA 31525-1862 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAVITA DIALYSIS | 15271 Laguna Canyon Rd, Irvine, CA 92618-3146 |
| Street Address |
909 N TOPEKA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740249655 | Renal Treatment Centers West Inc | Clinic/Center | 909 N Topeka St, Wichita, KS 67214 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619354438 | Medisource Healthcare Solutions, Inc | Contractor | 6245 W Kollmeyer Ct, Wichita, KS 67205-5278 | 2015-04-30 |
| 1205267945 | Vicki Daniel | Contractor | 1421 W Marlboro St, Wichita, KS 67217-2435 | 2013-12-05 |
| 1114070778 | Thaddeus M Alexander | Contractor | 12521 W Kenny Cir, Wichita, KS 67235-1956 | 2007-01-18 |
| 1023480035 | Rachel Zarich | Contractor | 560 N Exposition St, Wichita, KS 67203-5902 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530650 | Jacqueline Doris Lindsay | Contractor | 1430 Sw Topeka Blvd, Topeka, Kansas 66612, Topeka, KS 66601-6660 | 2020-02-21 |
| 1356884548 | Angie Harmon | Contractor | 4952 W 130th Ter, Leawood, KS 66209-1855 | 2016-11-21 |
| 1891243622 | Pamela J Black | Contractor | 903 N 3rd Ave, Minneapolis, KS 67467-1705 | 2016-09-21 |
| 1154724821 | Elizabeth Hazell | Contractor | 2021 S Apache St, Olathe, KS 66062-2979 | 2014-10-08 |
| 1558787895 | Cynthia Wingert | Contractor | 11309 W 60th St, Shawnee, KS 66203-2721 | 2014-03-11 |
| 1023444981 | Hong U. Ishaku | Contractor | 2904 Crestline Dr, Lawrence, KS 66047-3065 | 2013-09-23 |
| 1477988111 | Keturah Mary Katherine Dunlap | Contractor | 3923 Lloyd St, Kansas City, KS 66103-2828 | 2013-09-12 |
| 1306181433 | Leslie E Laemmli | Contractor | 15635 Beverly St, Overland Park, KS 66223-3482 | 2012-11-29 |
| 1619242435 | Jenna K Springer | Contractor | 2633 Butterfield Rd, Manhattan, KS 66502-4463 | 2012-03-12 |
| 1942516463 | Westport Plaza Pain Management, Inc. | Contractor | 3408 Rainbow Ext, Kansas City, KS 66103-2081 | 2010-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.