NPIMap

Organization Active NPI

Nkdhc Rudnitsky PLLC

Doing business as Nkdhc, PLLC

  • Nephrology Physician
  • Henderson, NV
National Provider Identifier
1407275381
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NKDHC RUDNITSKY PLLC
Doing business as
Nkdhc, PLLC
Practice address
2850 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-4395
Phone
(702) 726-6344
Fax
(702) 726-5828
NPI assigned
Apr 8, 2014
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Ms. Adonis Escobedo
Title
Credentialing Manager
Phone
(602) 351-3015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NV Primary

Addresses

Primary practice location

2850 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-4395

Mailing address

3003 N Central Ave
Suite 400
Phoenix, AZ 85012-2902
Phone (602) 351-3015

Other identifiers 1

IdentifierTypeStateIssuer
1265831432MedicaidNV

Other names 1

  • NKDHC, PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nkdhc Rudnitsky PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1407275381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-351-3015",
            "fax_number": "602-224-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524395",
            "telephone_number": "702-726-6344",
            "fax_number": "702-726-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKDHC RUDNITSKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-351-3015",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265831432",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NKDHC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.