KINGSTON DIALYSIS LLC (NPI# 1922475672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922475672 |
| Entity Type | Organization |
| Organization Name | KINGSTON DIALYSIS LLC |
| Other Organization Name | LAKEWOOD CROSSING DIALYSIS |
| Practice Address |
1057 S Wadsworth Blvd Ste 100 Lakewood CO 80226 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7209626199 |
| Practice Fax Number | 7209626196 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
12044X | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1922475672 | 05 |
| Other Name | Type Code |
|---|---|
| Lakewood Crossing Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| 1164899670 | Kingston Dialysis LLC | Clinic/Center | 9950 W 80th Ave Ste 25, Arvada, CO 80005 | 2015-09-01 |
| 1679940324 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste C, Lakewood, CO 80214-1434 | 2015-08-28 |
| 1740657402 | Kingston Dialysis LLC | Clinic/Center | 1715 Iron Horse Dr Ste 170, Longmont, CO 80501 | 2015-08-28 |
| 1386012268 | Kingston Dialysis LLC | Clinic/Center | 8800 Fox Dr, Thornton, CO 80260 | 2015-09-09 |
| Street Address |
1057 S WADSWORTH BLVD STE 100 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| 1730570599 | Jennifer Lynne Tilley | Behavioral Analyst | 8635 W Tennesse Pl, Lakewood, CO 80226 | 2015-02-13 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1679940324 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste C, Lakewood, CO 80214-1434 | 2015-08-28 |
| 1588972012 | Kidney Center of Bear Creek LLC | Clinic/Center | 11058 W Jewell Ave, Lakewood, CO 80232-6139 | 2010-09-17 |
| 1831420462 | Total Renal Care Inc | Clinic/Center | 14050 Madison Ave, Lakewood, OH 44107-4530 | 2010-01-21 |
| 1831388107 | Kidney Center of Lakewood LLC | Clinic/Center | 6166 W Alameda Ave, Lakewood, CO 80226-3539 | 2007-10-23 |
| 1124122908 | Lakewood Dialysis Services, LLC | Clinic/Center | 1328 River Ave, #16, Lakewood, NJ 08701-5645 | 2006-09-12 |
| 1003870130 | Total Renal Care Inc | Clinic/Center | 5919 Lakewood Towne Center Blvd Sw Ste A, Lakewood, WA 98499-6513 | 2006-04-14 |
| 1285693002 | Total Renal Care Inc | Clinic/Center | 4611 Silva St, Lakewood, CA 90712-2512 | 2006-03-21 |
| 1295703585 | Total Renal Care Inc | Clinic/Center | 1057 S Wadsworth Blvd, Ste 100, Lakewood, CO 80226-4360 | 2006-03-10 |
| Find all providers in LAKEWOOD | ||||
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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.