NTKC Management, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NTKC MANAGEMENT, LLC

Practice address

1049 Clifton St
Fort Worth, TX 76107-2628

Phone

(817) 870-9941

Fax

(817) 870-0044

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dan Baccus

Title

Chief Operating Officer

Phone

(817) 375-0610

Specialties & licenses 1

Addresses

Other names 1

• North Texas Kidney Consultants Doing business as

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1457543902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 MATLOCK RD",
            "address_2": "SUITE 205",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152935",
            "telephone_number": "817-375-0610",
            "fax_number": "817-375-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 CLIFTON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072628",
            "telephone_number": "817-870-9941",
            "fax_number": "817-870-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTKC MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "BACCUS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-375-0610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Kidney Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Nseka
• Nneka A Nsofor, APRN
• NT Bio-Functional Medicine PLLC
• Ntelcare LLC
• Augustin Ntirandekura
• NTKC-DFW, PLLC
• NTS Neuromonitring LLC
• NTX Billing Services LLC
• NTX Intraop SVCS VI, LLC
• NTX Pathology Program, PLLC

• Nephrology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.