NPIMap

Organization Active NPI

North Texas Kidney Disease Associates

  • Nephrology Physician
  • Plano, TX
National Provider Identifier
1154875839
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Practice address
4708 Alliance Blvd Ste 685
Plano, TX 75093
Phone
(214) 466-7230
Fax
(214) 466-7236
NPI assigned
Aug 10, 2016
Organization subpart
Yes
Parent organization
NORTH TEXAS KIDNEY DISEASE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Tammy Vaughn
Title
Credentialing Coordinator
Phone
(940) 320-1708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

4708 Alliance Blvd Ste 685
Plano, TX 75093

Mailing address

3315 Colorado Blvd
Suite 102
Denton, TX 76210-6884
Phone (940) 320-1708

Other practice location 1

4708 Alliance Blvd
Suite 630
Plano, TX 75093-5340
Phone (214) 466-7230

National Provider Directory

National Provider Directory
Tax ID family
North TX Kidney Disease10 organizations share this tax ID, including this one
Part of
North TX Kidney Disease

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1154875839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 COLORADO BLVD",
            "address_2": "SUITE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106884",
            "telephone_number": "940-320-1708",
            "fax_number": "940-565-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 685",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "214-466-7230",
            "fax_number": "214-466-7236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4708 Alliance Blvd",
            "address_2": "Suite 630",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935340",
            "country_code": "US",
            "telephone_number": "214-466-7230",
            "fax_number": "214-466-7236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS KIDNEY DISEASE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH TEXAS KIDNEY DISEASE ASSOCIATES",
        "enumeration_date": "2016-08-10",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "940-320-1708"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.