Organization Active NPI

Advanced Dialysis Center of Fort Lauderdale

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oakland Park, FL
National Provider Identifier
1154570216
Registry record updated Sep 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ADVANCED DIALYSIS CENTER OF FORT LAUDERDALE
Practice address
911 E Oakland Park Blvd
Oakland Park, FL 33334-2725
Phone
(954) 993-5757
Fax
(954) 577-5776
NPI assigned
Sep 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2008

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

Authorized official

Name
Dr. Bharat K Gupta, M.D.
Title
President
Phone
(954) 993-5757

Specialties & licenses 1

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

Addresses

Primary practice location

911 E Oakland Park Blvd
Oakland Park, FL 33334-2725

Mailing address

911 E Oakland Park Blvd
Oakland Park, FL 33334-2725
Phone (954) 993-5757

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221350400000",
    "number": "1154570216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342725",
            "telephone_number": "954-993-5757",
            "fax_number": "954-577-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342725",
            "telephone_number": "954-993-5757",
            "fax_number": "954-577-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIALYSIS CENTER OF FORT LAUDERDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-14",
        "last_updated": "2008-09-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-993-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2008; 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.