Organization Active NPI

Kidney Center of Terre Haute, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Terre Haute, IN
National Provider Identifier
1306897699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
KIDNEY CENTER OF TERRE HAUTE, LLC
Practice address
615 8TH Ave
Terre Haute, IN 47804-2743
Phone
(812) 238-1400
Fax
(812) 478-9342
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sisir Khumar Dhar, MD
Title
Owner
Phone
(812) 238-1400

Specialties & licenses 1

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

Addresses

Primary practice location

615 8TH Ave
Terre Haute, IN 47804-2743

Mailing address

615 8TH Ave
Terre Haute, IN 47804-2743
Phone (812) 238-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306897699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042743",
            "telephone_number": "812-238-1400",
            "fax_number": "812-478-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042743",
            "telephone_number": "812-238-1400",
            "fax_number": "812-478-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF TERRE HAUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHAR",
        "authorized_official_first_name": "SISIR",
        "authorized_official_middle_name": "KHUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-238-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.