Organization Active NPI

NKC Charleston, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charleston, SC
National Provider Identifier
1093187908
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NKC CHARLESTON, LLC
Practice address
2270 Ashley Crossing Dr Ste 130a
Charleston, SC 29414-5732
Phone
(843) 213-3660
Fax
(978) 450-5289
NPI assigned
Oct 30, 2015
Organization subpart
Yes
Parent organization
NKC SOUTH CAROLINA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Jeffrey Murray
Title
Director of Operations
Phone
(978) 530-4006

Specialties & licenses 1

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

Addresses

Primary practice location

2270 Ashley Crossing Dr Ste 130a
Charleston, SC 29414-5732

Mailing address

2270 Ashley Crossing Dr Ste 130a
Charleston, SC 29414-5732
Phone (904) 133-4330

National Provider Directory

National Provider Directory

Locations

2270 Ashley Crossing Dr
Ste 130A
Charleston, SC 29414
Phone (843) 213-3660

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1093187908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR STE 130A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "904-133-4330",
            "fax_number": "978-450-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR STE 130A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145732",
            "telephone_number": "843-213-3660",
            "fax_number": "978-450-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKC CHARLESTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NKC SOUTH CAROLINA, LLC",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "978-530-4006"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.