NPIMap

Organization Active NPI

Terrell Dialysis Center, LLC

Doing business as FMC Dialysis Services Grapevine

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Southlake, TX
National Provider Identifier
1437426897
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
TERRELL DIALYSIS CENTER, LLC
Doing business as
FMC Dialysis Services Grapevine
Practice address
1601 Hart CT
Southlake, TX 76092-9707
Phone
(817) 329-1866
Fax
(817) 329-6079
NPI assigned
Nov 29, 2011
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Mark R. Fawcett
Title
Treasurer
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1601 Hart CT
Southlake, TX 76092-9707

Mailing address

1601 Hart CT
Southlake, TX 76092-9707
Phone (817) 329-1866

Other names 1

  • FMC Dialysis Services Grapevine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1437426897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HART CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929707",
            "telephone_number": "817-329-1866",
            "fax_number": "817-329-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HART CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929707",
            "telephone_number": "817-329-1866",
            "fax_number": "817-329-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRELL DIALYSIS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "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": "FMC Dialysis Services Grapevine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.