NPIMap

Organization Active NPI

Chattanooga Kidney Centers of North LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1215190996
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CHATTANOOGA KIDNEY CENTERS OF NORTH LLC
Practice address
649 Morrison Springs Rd
Chattanooga, TN 37405
Phone
(423) 648-4900
Fax
(423) 648-1868
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Adel N Shenouda, MD
Title
Managing Partner
Phone
(423) 648-4900

Specialties & licenses 1

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

Addresses

Primary practice location

649 Morrison Springs Rd
Chattanooga, TN 37405

Mailing address

2118 Stein Dr
Chattanooga, TN 37421
Phone (423) 648-4900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1215190996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 STEIN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-648-4900",
            "fax_number": "423-648-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 MORRISON SPRINGS RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37405",
            "telephone_number": "423-648-4900",
            "fax_number": "423-648-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA KIDNEY CENTERS OF NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SHENOUDA",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "423-648-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.