Active NPI
Texarkana Kidney Disease & Hypertension Center, Inc.
- Specialist
- Texarkana, AR
National Provider Identifier
1508067331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.
- Practice address
- 422 Beech St
Texarkana, AR 71854-5310 - Phone
- (870) 773-1111
- Fax
- (870) 772-7692
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mike Blankenship, MD
- Title
- President
- Phone
- (870) 773-1111
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Texarkana, AR
- NPI 1821086547
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0715168 | Texarkana Kidney Disease | Certificate of waiver | Feb 1, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Hope Dialysis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hope, AR
- NPI 1992889596
Locations
2400 Saint Michael Dr
Ste 2
Texarkana, TX 75503
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
422 Beech St
Texarkana, AR 71854-5310
Mailing address
422 Beech St
Texarkana, AR 71854-5310
Phone (870) 773-1111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2008.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1508067331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 BEECH ST",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718545310",
"telephone_number": "870-773-1111",
"fax_number": "870-772-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 BEECH ST",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718545310",
"telephone_number": "870-773-1111",
"fax_number": "870-772-7692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "BLANKENSHIP",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-773-1111",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, AR
- Texarkana Behavioral Associates, L.C.
- Texarkana Counseling Services, LLC
- Texarkana Eye Associates
- Texarkana Eye Group PLC
- Texarkana Group, P.L.L.C
- Texarkana Nutrition Consultants
- Texarkana Pain Surgery Center LLC
- Texarkana Psychiatric Services, PLLC
- Texarkana Resources for the Disabled, Inc.
- Texarkana SNF Operations LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.