At Home Dialysis Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AT HOME DIALYSIS CORP

Practice address

330 Roland Ave
Owenton, KY 40359-1502

Phone

(859) 757-4353

NPI assigned

May 26, 2015

Last updated

Jun 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deepak Mittal, MDNPI 1447296538

Title

MD

Phone

(859) 757-4353

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Deepak Mittal, MD

  • Nephrology Physician
  • Florence, KY
  • NPI 1447296538
  NPD Authorized official

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1164801981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RIDGEPOINTE DR",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410769091",
            "telephone_number": "859-360-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ROLAND AVE",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "403591502",
            "telephone_number": "859-757-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME DIALYSIS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "859-757-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coast to Coast Physical Therapy, LLC

• Clinic/Center in Owenton, KY
• Providers in Owenton, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.