NPIMap

Organization Active NPI

North Carolina Kidney Care, PC

  • Nephrology Physician
  • Denver, CO
National Provider Identifier
1164028940
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NORTH CAROLINA KIDNEY CARE, PC
Practice address
1125 17TH St Ste 1000
Denver, CO 80202-2043
Phone
(855) 962-4638
NPI assigned
Dec 8, 2020
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Laura Chandhok
Title
Director, Support Operations
Phone
(720) 806-1538

Specialties & licenses 1

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

Addresses

Primary practice location

1125 17TH St Ste 1000
Denver, CO 80202-2043

Mailing address

1125 17TH St Ste 1000
Denver, CO 80202-2043
Phone (855) 962-4638

Other practice location 1

209 Fayetteville St Ste 9
Raleigh, NC 27601-1309
Phone (720) 806-1538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216002184 TN Part B Supplier - Clinic/Group Practice 8729491097 Receives reassigned benefits from 11 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

5100 Poplar Ave
Memphis, TN 38137
Phone (901) 625-5408

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1164028940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 17TH ST STE 1000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022043",
            "telephone_number": "855-962-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Fayetteville St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276011309",
            "country_code": "US",
            "telephone_number": "720-806-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH CAROLINA KIDNEY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "CHANDHOK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIRECTOR, SUPPORT OPERATIONS",
        "authorized_official_telephone_number": "720-806-1538"
    },
    "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 Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.