Organization Active NPI

Reset Kidney LLC

  • Nephrology Physician
  • Montgomery, AL
National Provider Identifier
1043941297
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RESET KIDNEY LLC
Practice address
4770 Woodmere Blvd Ste C4
Montgomery, AL 36106-3083
Phone
(412) 880-9378
NPI assigned
Jun 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Mr. Arun Sharma, OWNER
Title
Ceo
Phone
(412) 880-9378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

4770 Woodmere Blvd Ste C4
Montgomery, AL 36106-3083

Mailing address

PO Box 2270
Edison, NJ 08818-2270
Phone (412) 880-9378

National Provider Directory

National Provider Directory

Locations

4770 Woodmere Blvd
Ste C4
Montgomery, AL 36106
Phone (412) 880-9378

4770 Woodmere Blvd
Ste C
Montgomery, AL 36106

245 W Elmwood Dr
Ste 204
Centerville, OH 45459

1406 Dickerson St
Newark, OH 43055
Phone (740) 344-6808

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1043941297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2270",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088182270",
            "telephone_number": "412-880-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 WOODMERE BLVD STE C4",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063083",
            "telephone_number": "412-880-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET KIDNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-880-9378",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.