Active NPI
Charing Cross Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Baltimore, MD
National Provider Identifier
1043253438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CHARING CROSS DIALYSIS LLC
- Practice address
- 5730 Executive Dr
Suite 124 - 130
Baltimore, MD 21228-1760 - Phone
- (410) 747-9356
- Fax
- (410) 747-0603
- NPI assigned
- Jun 14, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Corey Korba
- Title
- Biling Manager
- Phone
- (914) 644-9276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | MD | Primary |
Addresses
Primary practice location
5730 Executive Dr
Suite 124 - 130
Baltimore, MD 21228-1760
Mailing address
Mie Executive Park
5730 Executive Drive Suites124
Baltimore, MD 21228
Phone (410) 747-9356
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba RCC Wellington
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake Worth, FL
- NPI 1871695163
Member Of
Locations
5730 Executive Dr
Ste 124
Catonsville, MD 21228
Phone (410) 747-9356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043253438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MIE EXECUTIVE PARK",
"address_2": "5730 EXECUTIVE DRIVE SUITES124",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-747-9356",
"fax_number": "410-747-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR",
"address_2": "SUITE 124 - 130",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212281760",
"telephone_number": "410-747-9356",
"fax_number": "410-747-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARING CROSS DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KORBA",
"authorized_official_first_name": "COREY",
"authorized_official_title_or_position": "BILING MANAGER",
"authorized_official_telephone_number": "914-644-9276",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.