Organization Active NPI

NXKC Indianapolis Northwest LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1740649466
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NXKC INDIANAPOLIS NORTHWEST LLC
Practice address
9101 Wesleyan Rd
Suite 115
Indianapolis, IN 46268-3166
Phone
(317) 829-9770
Fax
(317) 876-2530
NPI assigned
Feb 23, 2016
Organization subpart
Yes
Parent organization
NXKC INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Michael A. O'Connell
Title
Vice President
Phone
(937) 239-1492

Specialties & licenses 1

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

Addresses

Primary practice location

9101 Wesleyan Rd
Suite 115
Indianapolis, IN 46268-3166

Mailing address

350 Merrimack St
Lawrence, MA 01843-1748
Phone (978) 530-4006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1740649466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431748",
            "telephone_number": "978-530-4006",
            "fax_number": "978-450-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 WESLEYAN RD",
            "address_2": "SUITE 115",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683166",
            "telephone_number": "317-829-9770",
            "fax_number": "317-876-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NXKC INDIANAPOLIS NORTHWEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NXKC INDIANA, LLC",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "937-239-1492"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.