{"npi":"1730156480","type":"NPI-2","status":"active","name":{"display":"Dialysis Of Des Moines LLC","other":[],"organization_name":"DIALYSIS OF DES MOINES LLC","authorised_official":"Samuel Wey"},"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":"501 SW 7TH ST STE B","city":"DES MOINES","state":"IA","postal_code":"503094538","country_code":"US","phone":"5152831300","fax":"5152831316"},{"purpose":"MAILING","street_1":"5200 VIRGINIA WAY","city":"BRENTWOOD","state":"TN","postal_code":"370277569","country_code":"US","street_2":"L&C DEPT","phone":"6153416814","fax":"8002938405"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0625343","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031126000205","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"IA","pac_id":"7214831643"}]},"enumeration_date":"2006-03-01","last_updated":"2024-02-12","_meta":{"source":"NPPES","snapshot_date":"2024-02-12","doc_url":"https://findmynpi.com/api"}}