Active NPI
SNG - Pearland Dialysis Center LP
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pearland, TX
National Provider Identifier
1417323940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SNG - PEARLAND DIALYSIS CENTER LP
- Practice address
- 2850 Kirby Dr
Pearland, TX 77584-1954 - Phone
- (281) 582-8024
- Fax
- (281) 582-8025
- NPI assigned
- Aug 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kinam C. Martin
- Title
- Chief Operations Officer
- Phone
- (817) 725-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2850 Kirby Dr
Pearland, TX 77584-1954
Mailing address
1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 725-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110335 | Other | TX | FACILITY LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1417323940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W CANNON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043029",
"telephone_number": "817-725-7900",
"fax_number": "682-207-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 KIRBY DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841954",
"telephone_number": "281-582-8024",
"fax_number": "281-582-8025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNG - PEARLAND DIALYSIS CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "KINAM",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
"authorized_official_telephone_number": "817-725-7900"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY LICENSE",
"identifier": "110335",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.