Texarkana Kidney Disease & Hypertension Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.

Practice address

120 11TH Street
Lewisville, AR 71845

Phone

(870) 921-4111

Fax

(870) 772-7692

NPI assigned

Dec 14, 2006

Last updated

Jun 20, 2008By 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

D. Michael Blankenship, M.D.

Title

President

Phone

(870) 773-1111

Specialties & licenses 1

Addresses

Other names 1

• Lewisville Dialysis Other name

Practitioners 2

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.

• Dennis Michael Blankenship, M.D.

  • Nephrology Physician
  • Texarkana, AR
  • NPI 1821086547
  NPD (past)
• Dena Deann McClendon, APRN, FNP-C

  • Family Nurse Practitioner
  • Texarkana, AR
  • NPI 1730887142
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1316009913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 BEECH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545310",
            "telephone_number": "870-773-1111",
            "fax_number": "870-772-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 11TH STREET",
            "city": "LEWISVILLE",
            "state": "AR",
            "postal_code": "71845",
            "telephone_number": "870-921-4111",
            "fax_number": "870-772-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-773-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisville Dialysis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vera Mae Nicklas, R.N.
• Kristin Price, APRN
• Amanda Brett Rigler, LMSW
• Southwest Arkansas Counseling and Mental Health Center, Inc
• State of Arkansas (Lafayette County Health Unit)
• Mikayla Grace Wright

• Specialist in Lewisville, AR
• Providers in Lewisville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.