NPIMap

Akdhc, LLC

Organization Active NPI Nephrology Physician · Parker, AZ

NPI 1013373356 · NPPES record last updated Nov 27, 2024

Key facts

NPI
1013373356
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
Legal business name
AKDHC, LLC
Practice address
1713 S Kofa Ave Ste L
Parker, AZ 85344-6402
Phone
(928) 608-5905
Fax
(928) 575-1555
NPI assigned
Dec 31, 2015
Organization subpart
No

Authorized official

Name
Kristen Klein
Title
Director of Physician Services
Phone
(602) 997-0484

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Akdhc - Fountain Hills Family Practice (91 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RN0300X AZ Yes

Addresses

Primary practice location

1713 S Kofa Ave Ste L
Parker, AZ 85344-6402

Mailing address

3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone (602) 759-6883

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 27, 2024.

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1013373356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S KOFA AVE STE L",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446402",
            "telephone_number": "928-608-5905",
            "fax_number": "928-575-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKDHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "602-997-0484"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

All providers in Parker, AZ · Nephrology Physician in Arizona

Sources for this page

Verify at the official NPI Registry.