NPIMap

Organization Active NPI

Kidney and Medical Specialists, P.C.

  • Specialist
  • Norfolk, VA
National Provider Identifier
1598891830
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101028564 Issued in VA
Legal business name
KIDNEY AND MEDICAL SPECIALISTS, P.C.
Practice address
7428 Tidewater Dr
Norfolk, VA 23505-3815
Phone
(757) 588-1100
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. N Daniel Santacruz, M.D.
Title
President
Phone
(757) 588-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101028564 VA Primary

Addresses

Primary practice location

7428 Tidewater Dr
Norfolk, VA 23505-3815

Mailing address

7428 Tidewater Dr
Norfolk, VA 23505-3815
Phone (757) 588-1100

Other identifiers 1

IdentifierTypeStateIssuer
010370990MedicaidVA

National Provider Directory

National Provider Directory

Locations

7428 Tidewater Dr
Norfolk, VA 23505
Phone (757) 583-4000

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1598891830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053815",
            "telephone_number": "757-588-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7428 TIDEWATER DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235053815",
            "telephone_number": "757-588-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND MEDICAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "SANTACRUZ",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-588-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101028564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010370990",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.