Northwest Dialyis Center,LLC

Primary specialty

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

License

110031 Issued in TX

Legal business name

NORTHWEST DIALYIS CENTER,LLC

Practice address

7112 Stuebner Airline Rd
Houston, TX 77091-2408

Phone

(713) 490-7382

Fax

(713) 490-7389

NPI assigned

Mar 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Sunny Kotak, CEO

Title

President

Phone

(713) 490-7382

Specialties & licenses 1

Addresses

Tax ID family

Northwest Dialyis Centerllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northwest Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
  • NPI 1366680019
  NPD tax ID

Locations

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1295058709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 STUEBNER AIRLINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912408",
            "telephone_number": "713-490-7382",
            "fax_number": "713-490-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 STUEBNER AIRLINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912408",
            "telephone_number": "713-490-7382",
            "fax_number": "713-490-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DIALYIS CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "KOTAK",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-490-7382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Chiropractic Center
• Northwest Clinic
• Northwest Colon & Rectal Surgery, P.a.
• Northwest Community Health Clinic
• Northwest Dental Care PLLC
• Northwest Dialysis Center, LLC
• Northwest Emergency Surgery Call Group PLLC
• Northwest Endo Surgical PLLC
• Northwest ENT Surgical Assoicates, P.a.
• Northwest Eye Associates

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, TX
• Providers in Houston, 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 Sep 23, 2010; 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.