Organization Active NPI

Jensen Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
National Provider Identifier
1871897298
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
JENSEN DIALYSIS CENTER, LLC
Practice address
9716 Jensen Dr
Houston, TX 77093-6302
Phone
(979) 864-4330
Fax
(979) 864-3560
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Ms. Lori Timmons, RN, BSN
Title
Administrator
Phone
(979) 864-4330

Specialties & licenses 1

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

Addresses

Primary practice location

9716 Jensen Dr
Houston, TX 77093-6302

Mailing address

PO Box 4639
Houston, TX 77210-4639
Phone (979) 864-4330

National Provider Directory

National Provider Directory

Locations

9716 Jensen Dr
Houston, TX 77093
Phone (713) 692-4600

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1871897298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4639",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104639",
            "telephone_number": "979-864-4330",
            "fax_number": "979-864-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9716 JENSEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770936302",
            "telephone_number": "979-864-4330",
            "fax_number": "979-864-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENSEN DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-864-4330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "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 Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.