Organization Active NPI

SNG - Pasadena Dialysis Center LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pasadena, TX
National Provider Identifier
1073069811
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110410OtherTXFACILITY LICENSE

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.