MOORE DIALYSIS
NPI 1821496217
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Moore, OK

Active since December 17, 2014CLIA 37D2090952 · Waiver
2/5
Overall Rating
620 S SANTA FE AVE STE C, MOORE, OK 73160(405) 799-2439(405) 799-2409 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2023, Nov 11, 2022, Aug 31, 2020 and 1 more (4 updates tracked since 2019).

About Moore Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOORE DIALYSIS (NPI 1821496217) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Moore, Oklahoma and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1821496217
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSTOCKTON DIALYSIS LLC
Location Address620 S SANTA FE AVE STE CMoore, OK 73160-2476
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567
Fax(405) 799-2409
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateDecember 17, 2014
Last NPPES UpdateJanuary 22, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
NPI 1821496217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
620 S SANTA FE AVE STE C, Moore, OK 73160

Other Names 1

Doing Business AsMoore Dialysis

Other Identifiers 1

Medicaid200694610AOK

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2090952

Moore Dialysis · Moore, OK
Active · expires Feb 2, 2027
CLIA Number37D2090952
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorDustin S. Tedesco
Laboratory Phone(000) 405-7992
Laboratory LocationMoore Dialysis620 S Santa Fe Ave, Ste C, Moore, OK 73160
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Moore Dialysis (CMS certification number 372603), from CMS Care Compare.

DaVita Moore Dialysis

Dialysis facility · Moore, OK
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number372603
ESRD NetworkNetwork 13
Hemodialysis Stations12
Medicare-Certified SinceAugust 22, 2016
Location620 S. SANTA FE AVE STE CMoore, OK 73160 · Cleveland County
Services Offered
In-center hemodialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stockton Dialysis LLC's NPI number?

The NPI number for Stockton Dialysis LLC is 1821496217. It was assigned to this organization in the NPPES registry on December 17, 2014. The provider is doing business as Moore Dialysis.

Where is Stockton Dialysis LLC located?

Stockton Dialysis LLC is located at 620 S Santa Fe Ave Ste C, Moore, OK 73160. The listed phone number is (405) 799-2439.

What is Stockton Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Stockton Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2090952) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Stockton Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Moore Dialysis is a Medicare-certified dialysis facility, certified since August 22, 2016.

What quality rating does Stockton Dialysis LLC have?

CMS rates DaVita Moore Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Stockton Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter from Superior HealthPlan and 4 other insurers list Stockton Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stockton Dialysis LLC was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.