Grapevine Kidney Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GRAPEVINE KIDNEY CENTER LLC

Doing business as

Grapevine Regional Dialysis Center

Practice address

1270 William D Tate Ave
Suite 300
Grapevine, TX 76051-4098

Phone

(817) 421-6326

Fax

(817) 421-6827

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other names 1

• Grapevine Regional Dialysis Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Jameson, M.D

  • Nephrology Physician
  • Arlington, TX
  • NPI 1306895347
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1235596446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 WILLIAM D TATE AVE",
            "address_2": "SUITE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514098",
            "telephone_number": "817-421-6326",
            "fax_number": "817-421-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 WILLIAM D TATE AVE",
            "address_2": "SUITE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514098",
            "telephone_number": "817-421-6326",
            "fax_number": "817-421-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grapevine Regional Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grapevine Regional Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grapevine Emergency Physicians PLLC
• Grapevine Health
• Grapevine Imaging & Pain Management Center LLC (Eclipse Imaging Pain Management Center-Grapevine)
• Grapevine Internal Medicine Centre
• Grapevine Interventional Pain Center, LLC
• Grapevine Kids PLLC (Grapevine Kids Dental and Orthodontics)
• Grapevine Pain Management, LLC
• Grapevine Pediatric Clinic, PA
• Grapevine Pharmacy, Inc
• Grapevine Radiology Associates

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grapevine, TX
• Providers in Grapevine, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.