Renal Treatment Centers Southeast LP

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

008427 Issued in TX

Legal business name

RENAL TREATMENT CENTERS SOUTHEAST LP

Doing business as

DaVita Downtown Dallas Dialysis

Practice address

3515 Swiss Ave
Ste a
Dallas, TX 75204-6223

Phone

(214) 828-2280

Fax

(214) 827-7204

NPI assigned

Jul 20, 2006

Last updated

May 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Winstel

Title

Cheif Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DaVita Downtown Dallas Dialysis Doing business as

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1669492260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6764",
            "fax_number": "833-781-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SWISS AVE",
            "address_2": "STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752046223",
            "telephone_number": "214-828-2280",
            "fax_number": "214-827-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS SOUTHEAST LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHEIF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851693-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaVita Downtown Dallas Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DaVita Downtown Dallas Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renaissance Health and Wellness of Texas, P.a.
• Renaissance Hospital Dallas
• Renaissance Hospital Dallas
• Renal Center of North Dallas, LLC (Renal Center of North Dallas)
• Renal Treatment Centers Southeast LP (Dallas North Dialysis Center)
• Renal Treatment Centers-Southeast LP (Home for Texas DFW)
• Renal Treatment Centers-Southeast, LP. (DaVita Central Dallas Dialysis)
• Renal Treatment Centers-Southeast, LP. (Lake Cliff Dialysis Center)
• Thomas H. Renard, M.D.
• Renascent Behavioral Health Clinic

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.