WAKONI DIALYSIS LLC NPI 1336485507

NPI Information

NPI: 1336485507
Provider Name: WAKONI DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: DAYTON SOUTH DIALYSIS
Address: 4700 SPRINGBORO PIKE STE A
MORAINE, OH
ZIP 45439
Phone: (937) 294-7188

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NPI Details

WAKONI DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Moraine, OH. WAKONI DIALYSIS LLC NPI is 1336485507. The provider is registered as an organization entity type.
The provider Is Doing Business As Dayton South Dialysis.

The provider's business location address is:

4700 SPRINGBORO PIKE STE A
MORAINE, OH
ZIP 45439-964
Phone: (937) 294-7188
Fax: (937) 294-7370

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 280-9501.

The enumeration date for this NPI number is 12/17/2012 and was last updated on 12/17/2012.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	362517	MEDICARE OSCAR/CERTIFICATION

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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