NTKC Management, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NTKC MANAGEMENT, LLC

Practice address

1600 W College St
Suite 410
Grapevine, TX 76051-3580

Phone

(817) 375-0610

Fax

(817) 375-0640

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dan Baccus

Title

Chief Operating Officer

Phone

(817) 375-0610

Specialties & licenses 1

Addresses

Other names 1

• North Texas Kidney Consultants Doing business as

Locations

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1376735829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 MATLOCK RD",
            "address_2": "SUITE 205",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152935",
            "telephone_number": "817-375-0610",
            "fax_number": "817-375-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST",
            "address_2": "SUITE 410",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513580",
            "telephone_number": "817-375-0610",
            "fax_number": "817-375-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTKC MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "BACCUS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-375-0610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Kidney Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Texas Family Care Associates PA
• North Texas Medical Transport, LLC
• North Texas Orthopedics Surgical Partners PLLC
• North Texas Sports and Orthopedic Center, PLLC
• NTDS Grapevine
• NTKC Management, LLC
• NTKC-DFW, PLLC
• Nto Physician Partners, PLLC
• Nto Physician Partners, PLLC
• Numed Imaging Centers, Inc

• Nephrology Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.