NPIMap

Organization Active NPI

Renal Treatment Centers Southeast LP

Doing business as West Plano Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plano, TX
National Provider Identifier
1043457484
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
110009 Issued in TX
Legal business name
RENAL TREATMENT CENTERS SOUTHEAST LP
Doing business as
West Plano Dialysis
Practice address
5036 Tennyson Pkwy
Plano, TX 75024-3002
Phone
(972) 608-1089
Fax
(972) 608-1096
NPI assigned
Jan 7, 2009
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James K Hilger
Title
Chief Accounting Officer
Phone
(253) 382-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 110009 TX Primary

Addresses

Primary practice location

5036 Tennyson Pkwy
Plano, TX 75024-3002

Mailing address

5200 Virginia Way
L&C Dept 4TH Floor
Brentwood, TN 37027-7569
Phone (615) 320-4550

Other identifiers 1

IdentifierTypeStateIssuer
219313801MedicaidTX

Other names 1

  • West Plano Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forrest City Dialysis137 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1043457484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT 4TH FLOOR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4550",
            "fax_number": "866-500-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 TENNYSON PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243002",
            "telephone_number": "972-608-1089",
            "fax_number": "972-608-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS SOUTHEAST LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-382-1919"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219313801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Plano Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.