Organization Active NPI

North Texas Dialysis Inc.

Doing business as Lewisville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lewisville, TX
National Provider Identifier
1720111958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
008002 Issued in TX
Legal business name
NORTH TEXAS DIALYSIS INC.
Doing business as
Lewisville Dialysis
Practice address
1600 Waters Ridge Dr
Lewisville, TX 75057-6014
Phone
(972) 436-7211
Fax
(972) 436-9273
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Hilton Baker, M.D.NPI 1336120310
Title
Chief Executive Officer
Phone
(972) 436-7211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008002 TX Primary

Addresses

Primary practice location

1600 Waters Ridge Dr
Lewisville, TX 75057-6014

Mailing address

1600 Waters Ridge Dr
Lewisville, TX 75057-6014
Phone (972) 436-7211

Other names 1

  • Lewisville Dialysis Doing business as

National Provider Directory

National Provider Directory

Locations

1600 Waters Ridge Dr
Lewisville, TX 75057
Phone (972) 436-7211

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720111958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576014",
            "telephone_number": "972-436-7211",
            "fax_number": "972-436-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WATERS RIDGE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576014",
            "telephone_number": "972-436-7211",
            "fax_number": "972-436-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS DIALYSIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "HILTON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "972-436-7211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.