Active NPI
Akdhc, LLC
- Nephrology Physician
- Sierra Vista, AZ
National Provider Identifier
1760671192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- AKDHC, LLC
- Practice address
- 155 Calle Portal Ste 100
Sierra Vista, AZ 85635-2900 - Phone
- (520) 458-6088
- NPI assigned
- Oct 22, 2007
- Last updated
- Nov 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristen Klein
- Title
- Director of Physician Services
- Phone
- (602) 759-6883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
155 Calle Portal Ste 100
Sierra Vista, AZ 85635-2900
Mailing address
3333 E Camelback Rd
Phoenix, AZ 85018-2322
Phone (602) 759-6883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211000250 | AZ | Part B Supplier - Clinic/Group Practice | 8123912136 |
Receives reassigned benefits from 152 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 41
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Nephrology Physician
- Fountain Hills, AZ
- NPI 1871745752
O20040211000250
-
- Nephrology Physician
- Green Valley, AZ
- NPI 1508019795
O20040211000250
National Provider Directory
National Provider DirectoryLocations
3333 E Camelback Rd
Phoenix, AZ 85018
Phone (480) 217-4090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732665600000",
"number": "1760671192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 E CAMELBACK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182322",
"telephone_number": "602-759-6883",
"fax_number": "602-224-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL STE 100",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352900",
"telephone_number": "520-458-6088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AKDHC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
"authorized_official_telephone_number": "602-759-6883",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.