Usrc Plano Dexter, LLC

Primary specialty

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

Legal business name

USRC PLANO DEXTER, LLC

Practice address

4708 Dexter Dr
Plano, TX 75093-5288

Phone

(469) 596-7020

NPI assigned

May 22, 2020

Organization subpart

Yes

Parent organization

US RENAL CARE INC.As reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman/President

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• Premier Dialysis - Plano Dexter Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Usrc Premier Plano DexterCCN 742578

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jan 13, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

14

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yugandhar P Chimata, MD

  • Nephrology Physician
  • Desoto, TX
  • NPI 1548299480
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shehpar A Khan, M.D.

  • Internal Medicine Physician
  • Baytown, TX
  • NPI 1356572945

  Dialysis facility

  Care Compare affiliation Name & address match
• Mamatha Racheruvu, M.B.B.S.

  • Nephrology Physician
  • Dallas, TX
  • NPI 1548573587

  Dialysis facility

  Care Compare affiliation Name & address match
• Mustafa Moiz Tajkhanji, MD

  • Nephrology Physician
  • Dallas, TX
  • NPI 1942839469

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1427671502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700",
            "fax_number": "214-291-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 DEXTER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935288",
            "telephone_number": "469-596-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC PLANO DEXTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC.",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN/PRESIDENT",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dialysis - Plano Dexter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• US Fit Therapy LLC
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• USA Vitalmed Inc.
• Usrc Classic City LLC
• Usrc Plano LLC
• Kyle Andrew Utne, MA, ATC, PTA
• David Etin Osa Uwubanmwen
• Cynthia Ifunanyachukwu Uzoukwu, DDS
• V Eye P Plano P.a

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Plano, TX
• Providers in Plano, 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 Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.