CADDOAN DIALYSIS LLC NPI 1306381942

NPI Information

  • NPI: 1306381942
  • Provider Name: CADDOAN DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • :
  • CLIA Number: 17D2131539
  • Address: 2852 W 47TH AVE
    KANSAS CITY, KS
    ZIP 66103
  • Phone: (913) 403-1843

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NPI Details

CADDOAN DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Kansas City, KS. CADDOAN DIALYSIS LLC NPI is 1306381942. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2852 W 47TH AVE
KANSAS CITY, KS
ZIP 66103-243
Phone: (913) 403-1843
Fax: (913) 403-1848

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 17D2131539 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2017 and was last updated on 5/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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