NTKC MANAGEMENT, LLC (NPI# 1891948683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891948683 |
| Entity Type | Organization |
| Organization Name | NTKC MANAGEMENT, LLC |
| Other Organization Name | NORTH TEXAS KIDNEY CONSULTANTS |
| Practice Address |
1601 Lancaster Dr Suite 20c Grapevine TX 76051-2109 |
| Mailing Address |
3030 Matlock Rd Suite 205 Arlington TX 76015-2935 |
| Practice Telephone | 8173750610 |
| Mailing Telephone | 8173750610 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | MR. DAN BACCUS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8173750610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Texas Kidney Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447492756 | Ntkc Management, LLC | Internal Medicine | 3900 Junius Street, Suite 615, Dallas, TX 75246 | 2009-04-01 |
| 1457543902 | Ntkc Management, LLC | Internal Medicine | 1049 Clifton St, Fort Worth, TX 76107-2628 | 2007-08-17 |
| 1063654515 | Ntkc Management, LLC | Internal Medicine | 805 Hill Blvd, Suite 102, Granbury, TX 76048-1481 | 2009-03-30 |
| 1376735829 | Ntkc Management, LLC | Internal Medicine | 1600 W College St, Suite 410, Grapevine, TX 76051-3580 | 2007-08-17 |
| 1083806533 | Ntkc Management, LLC | Internal Medicine | 4351 Booth Calloway Rd, Suite 404, North Richland Hills, TX 76180-7378 | 2007-08-17 |
| 1740472299 | Ntkc Management, LLC | Internal Medicine | 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5340 | 2007-08-17 |
| 1518159052 | Ntkc Management, LLC | Internal Medicine | 3515 Swiss Ave, Second Floor, Dallas, TX 75204-6223 | 2007-08-17 |
| 1598957037 | Ntkc Management, LLC | Internal Medicine | 530 Clara Barton Blvd, Suite 200, Garland, TX 75042-5703 | 2007-08-17 |
| 1588856033 | Ntkc Management, LLC | Internal Medicine | 601 Westpark Way, Euless, TX 76040-3972 | 2007-08-17 |
| 1790977411 | Ntkc Management, LLC | Internal Medicine | 3030 Matlock Rd, Suite 205, Arlington, TX 76015-2935 | 2007-08-16 |
| Street Address |
1601 LANCASTER DR SUITE 20C |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306003017 | North Dfw Urology LLP | Family Medicine | 1601 Lancaster Dr, Suite 100, Grapevine, TX 76051-2109 | 2008-05-20 |
| 1245638089 | Dls & Associates LLC | Licensed Practical Nurse | 1601 Lancaster Dr, Suite 20-b, Grapevine, TX 76051-2109 | 2014-12-10 |
| 1730507195 | Daniel Beck, Md Pa | Specialist | 1601 Lancaster Dr, Suite 100, Grapevine, TX 76051-2109 | 2014-04-02 |
| 1124469135 | Venkatesh Movva Md Pllc | Pain Medicine | 1601 Lancaster Dr, Grapevine, TX 76051-2109 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902131261 | Ntkc-dfw, Pllc | Internal Medicine | 3801 William D Tate Ave Ste 105, Grapevine, TX 76051-8755 | 2009-10-05 |
| 1831552389 | Ntkc-dfw,pllc | Internal Medicine | 3801 William D Tate Ave, Suite 105, Grapevine, TX 76051-8755 | 2016-04-01 |
| 1376735829 | Ntkc Management, LLC | Internal Medicine | 1600 W College St, Suite 410, Grapevine, TX 76051-3580 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.