Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · North Kansas City, MO

NPI number 1790746386 Active

Practice location

2750 Clay Edwards Dr Ste 100
North Kansas City, MO 64116-3257

Call (816) 842-2056 Map

Fax (816) 221-6091

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1790746386
Entity type: Organization (Type 2)
Issued: Mar 31, 2006
Last updated: Sep 17, 2026
Status: Active

Other names

<unavail>
Northland Dialysis · doing business as
Northland Dialysis · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1790746386

Dva Healthcare Renal Care Inc's National Provider Identifier is 1790746386, issued on Mar 31, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in North Kansas City, MO. The record was last updated on Sep 17, 2026.