OrganizationActive
Duston Dialysis, LLC
NPI 1558716019 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1558716019
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
415 E Dupont Rd
Fort Wayne, IN 46825-2051
Phone: (260) 637-0431
Fax: (260) 637-6641
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Fort Wayne North Dialysis
- Doing business as
- Fort Wayne North Dialysis
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2024-04-05
- Certified
- 2024-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.