NPIMap

Organization Active NPI

Dialysis Clinic Inc.

Doing business as Central Kentucky Nephrology and Hypertension

  • Nephrology Physician
  • Lexington, KY
National Provider Identifier
1811185028
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
37363 Issued in KY
Legal business name
DIALYSIS CLINIC INC.
Doing business as
Central Kentucky Nephrology and Hypertension
Practice address
1451 Harrodsburg Rd
Suite D-304
Lexington, KY 40504-3758
Phone
(859) 977-4000
Fax
(859) 977-5100
NPI assigned
Oct 12, 2007
Last updated
Oct 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Donovan Schultz
Title
President
Phone
(615) 327-3061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 37363 KY Primary
Nephrology Physician 207RN0300X 36247 KY

Addresses

Primary practice location

1451 Harrodsburg Rd
Suite D-304
Lexington, KY 40504-3758

Mailing address

1451 Harrodsburg Rd
Suite D-304
Lexington, KY 40504-3758
Phone (859) 977-4000

Other identifiers 2

IdentifierTypeStateIssuer
64038698MedicaidKY
64056732MedicaidKY

Other names 1

  • CENTRAL KENTUCKY NEPHROLOGY AND HYPERTENSION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dci Lab-Missouri238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2101 Nicholasville Rd
Ste 208
Lexington, KY 40503
Phone (859) 276-5454

Practitioners & affiliated clinicians

Practitioners 1

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1811185028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD",
            "address_2": "SUITE D-304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043758",
            "telephone_number": "859-977-4000",
            "fax_number": "859-977-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD",
            "address_2": "SUITE D-304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043758",
            "telephone_number": "859-977-4000",
            "fax_number": "859-977-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "37363",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "36247",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64038698",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64056732",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL KENTUCKY NEPHROLOGY AND HYPERTENSION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL KENTUCKY NEPHROLOGY AND HYPERTENSION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.