NPIMap

Organization Active NPI

Akdhc, LLC

Doing business as Arizona Kidney Disease & Hypertension Center, LLC

  • Nephrology Physician
  • Green Valley, AZ
National Provider Identifier
1366154379
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
AKDHC, LLC
Doing business as
Arizona Kidney Disease & Hypertension Center, LLC
Practice address
1055 N la Canada Dr Ste 105
Green Valley, AZ 85614-3700
Phone
(520) 585-4590
Fax
(520) 398-7540
NPI assigned
Dec 21, 2022
Last updated
Nov 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Kristen Klein
Title
Director of Physician Services
Phone
(602) 997-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

1055 N la Canada Dr Ste 105
Green Valley, AZ 85614-3700

Mailing address

3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
244929MedicaidAZ

Other names 1

  • Arizona Kidney Disease & Hypertension Center, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Akdhcllc92 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1366154379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N LA CANADA DR STE 105",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143700",
            "telephone_number": "520-585-4590",
            "fax_number": "520-398-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKDHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "602-997-0484"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244929",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Kidney Disease & Hypertension Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arizona Kidney Disease & Hypertension Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.