Organization Active NPI

Kidney Disease Specialists of West Texas PA

  • Nephrology Physician
  • Lubbock, TX
National Provider Identifier
1083856512
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J4599 Issued in TX
Legal business name
KIDNEY DISEASE SPECIALISTS OF WEST TEXAS PA
Practice address
3801 21St St Ste 200
Lubbock, TX 79410-1006
Phone
(806) 687-0338
Fax
(806) 687-4326
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Andrea G Schmidt, BA
Title
Administrator
Phone
(806) 798-1594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X J4599 TX Primary

Addresses

Primary practice location

3801 21St St Ste 200
Lubbock, TX 79410-1006

Mailing address

5109 82ND St
Ste 7 #1114
Lubbock, TX 79424-3028
Phone (806) 798-1594

Other names 1

  • Larry A Warmoth MD President Other name

National Provider Directory

National Provider Directory

Locations

5109 82nd St
Unit 7
Lubbock, TX 79424

Practitioners & affiliated clinicians

Practitioners 1

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": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1083856512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 82ND ST",
            "address_2": "STE 7 #1114",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243028",
            "telephone_number": "806-798-1594",
            "fax_number": "806-794-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 21ST ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101006",
            "telephone_number": "806-687-0338",
            "fax_number": "806-687-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY DISEASE SPECIALISTS OF WEST TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-798-1594",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larry A Warmoth MD President",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.