{"npi":"1366829343","type":"NPI-2","status":"active","name":{"display":"Wallingford Dialysis Care LLC","other":[],"organization_name":"WALLINGFORD DIALYSIS CARE LLC","authorised_official":"Sara Brady"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"720 N MAIN STREET EXT STE 3","city":"WALLINGFORD","state":"CT","postal_code":"064922788","country_code":"US","phone":"2032650667","fax":"2032650669"},{"purpose":"MAILING","street_1":"720 N MAIN STREET EXT STE 3","city":"WALLINGFORD","state":"CT","postal_code":"064922788","country_code":"US","phone":"2032650667","fax":"2032650669"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"8063906","state":"CT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150519002473","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"CT","pac_id":"2365762101"}]},"enumeration_date":"2015-04-29","last_updated":"2023-01-10","_meta":{"source":"NPPES","snapshot_date":"2023-01-10","doc_url":"https://findmynpi.com/api"}}