Active NPI
SNG - Pasadena Dialysis Center LP
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pasadena, TX
National Provider Identifier
1073069811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SNG - PASADENA DIALYSIS CENTER LP
- Practice address
- 5040 Crenshaw Rd
Ste 200
Pasadena, TX 77505 - Phone
- (832) 703-0450
- Fax
- (832) 703-0456
- NPI assigned
- Aug 31, 2016
- Last updated
- Aug 21, 2017
- 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
- Kinam C. Martin
- Title
- Chief Operations Officer
- Phone
- (817) 725-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
5040 Crenshaw Rd
Ste 200
Pasadena, TX 77505
Mailing address
1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 725-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110410 | Other | TX | FACILITY LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Fort Worth, TX
- NPI 1699767798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503273600000",
"number": "1073069811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W CANNON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043029",
"telephone_number": "817-725-7900",
"fax_number": "682-207-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 CRENSHAW RD",
"address_2": "STE 200",
"city": "PASADENA",
"state": "TX",
"postal_code": "77505",
"telephone_number": "832-703-0450",
"fax_number": "832-703-0456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNG - PASADENA DIALYSIS CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2017-08-21",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "KINAM",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "817-725-7900"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY LICENSE",
"identifier": "110410",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.