Organization Active NPI

Charing Cross Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baltimore, MD
National Provider Identifier
1043253438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.