Texarkana Kidney Disease & Hypertension Center, Inc.

Primary specialty

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

Legal business name

TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.

Doing business as

Kidney Disease and Dialysis Of Magnolia

Practice address

1411 N Jackson
Magnolia, AR 71753-2017

Phone

(870) 234-4945

Fax

(870) 772-7692

NPI assigned

Dec 14, 2006

Last updated

Jan 24, 2023By 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

Dr. Dennis Michael Blankenship, M.D.NPI 1821086547

Title

President/Ceo

Phone

(870) 773-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kidney Disease and Dialysis Of Magnolia Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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
  Authorized official Same address or phone
• 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": "1674518400000",
    "number": "1396807871",
    "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": "1411 N JACKSON",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532017",
            "telephone_number": "870-234-4945",
            "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": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "870-773-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113797134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Disease and Dialysis Of Magnolia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Marie Taylor, LPC
• Houston Taylor, M.ED.
• Janita Taylor
• Corinna Testa
• Texarkana Eye Associates
• Ann Keese Thomas, PHD
• Danicka Kashun Thomas
• Melody L Tobert
• Total Renal Care Inc (Southwest Arkansas Dialysis)
• Jason Ross Touchton, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Magnolia, AR
• Providers in Magnolia, AR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.