Organization Active NPI

Basin Kidney Care Specialists PA

  • Nephrology Physician
  • Odessa, TX
National Provider Identifier
1639454630
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BASIN KIDNEY CARE SPECIALISTS PA
Practice address
8050 E Hwy 191 Ste 202
Odessa, TX 79765-8613
Phone
(432) 312-6065
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Mrs. Dorothy Ntende
Title
Treasurer
Phone
(432) 312-6065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

8050 E Hwy 191 Ste 202
Odessa, TX 79765-8613

Mailing address

8050 E Hwy 191 Ste 202
Odessa, TX 79765-8613
Phone (432) 312-6065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1639454630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 E HWY 191 STE 202",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-312-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E HWY 191 STE 202",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658613",
            "telephone_number": "432-312-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN KIDNEY CARE SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "NTENDE",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "432-312-6065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.