Organization Active NPI

Dialyspa VI LLC

Doing business as Dialyspa Bellaire Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bellaire, TX
National Provider Identifier
1740725019
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSPA VI LLC
Doing business as
Dialyspa Bellaire Home
Practice address
6800 West Loop S Ste 190
Bellaire, TX 77401-4524
Phone
(281) 833-3330
Fax
(281) 833-3327
NPI assigned
Dec 22, 2016
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Jeffery Kalina, MD
Title
Ceo
Phone
(713) 218-6500

Specialties & licenses 1

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

Addresses

Primary practice location

6800 West Loop S Ste 190
Bellaire, TX 77401-4524

Mailing address

PO Box 128
Bellaire, TX 77402-0128
Phone (281) 833-3330

Other names 1

  • Dialyspa Bellaire Home Doing business as

National Provider Directory

National Provider Directory

Locations

6800 West Loop S
Ste 190
Bellaire, TX 77401
Phone (281) 833-3330

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1740725019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WEST LOOP S STE 190",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014524",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSPA VI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "KALINA",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-218-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialyspa Bellaire Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.