Renal Treatment Centers Southeast LP

Primary specialty

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

License

008070 Issued in TX

Legal business name

RENAL TREATMENT CENTERS SOUTHEAST LP

Doing business as

Dallas North Dialysis Center

Practice address

11886 Greenville Ave
Ste 100B
Dallas, TX 75243-0584

Phone

(972) 918-0100

Fax

(972) 918-0110

NPI assigned

Apr 10, 2006

Last updated

Feb 3, 2021By 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

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dallas North Dialysis Center Doing business as

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1396708343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6764",
            "fax_number": "833-781-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11886 GREENVILLE AVE",
            "address_2": "STE 100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752430584",
            "telephone_number": "972-918-0100",
            "fax_number": "972-918-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS SOUTHEAST LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0942898-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas North Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dallas North Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renaissance Clinical Research & Hypertension Clinic of Texas PLLC
• Renaissance Health and Wellness of Texas, P.a.
• Renaissance Hospital Dallas
• Renaissance Hospital Dallas
• Renal Center of North Dallas, LLC (Renal Center of North Dallas)
• Renal Treatment Centers Southeast LP (DaVita Downtown Dallas Dialysis)
• Renal Treatment Centers-Southeast LP (Home for Texas DFW)
• Renal Treatment Centers-Southeast, LP. (DaVita Central Dallas Dialysis)
• Renal Treatment Centers-Southeast, LP. (Lake Cliff Dialysis Center)
• Thomas H. Renard, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dallas, TX
• Providers in Dallas, 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 Feb 3, 2021; 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.