NORTH TEXAS KIDNEY CONSULTANTS
NPI 1447492756
Internal Medicine - Nephrology in Dallas, TX

Active since April 01, 2009CLIA Certified · 2 labs
3900 JUNIUS STREET, SUITE 615, DALLAS, TX 75246(972) 388-5970(972) 388-5971 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About North Texas Kidney Consultants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH TEXAS KIDNEY CONSULTANTS (NPI 1447492756) is a healthcare organization registered as a nephrology in Dallas, Texas and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Dan Baccus, Coo, as its authorized official.Information from the official NPPES registry record, last updated April 1, 2009.

NPPES Registry Identity

NPI1447492756
Entity TypeOrganization
Legal Business NameNTKC MANAGEMENT, LLC
Location Address3900 JUNIUS STREET, SUITE 615Dallas, TX 75246
Mailing Address3030 Matlock Road, Suite 205Arlington, TX 76015 · (817) 375-0610 · Fax (817) 375-0640
Fax(972) 388-5971
Organization SubpartNo
Authorized OfficialDan BaccusCoo · (817) 375-0610
Enumeration DateApril 1, 2009
NPI 1447492756 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Internal Medicine · Nephrology

Taxonomy 207RN0300X · Allopathic & Osteopathic Physicians

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… Show more

3900 JUNIUS STREET, Dallas, TX 75246

Also on File with NPPES

Other Names1
North Texas Kidney Consultants (Doing Business As)
Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0976598
Facility Type
Other
Certificate Effective Date
August 09, 2024
Certificate Expiration Date
August 08, 2026
Laboratory Director
DR. LANDIS GRIFFETH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Texas Kidney Consultants to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447492756, enumerated as an "organization" on April 01, 2009.

The provider is located at 3900 JUNIUS STREET SUITE 615 DALLAS, TX 75246 and the phone number is (972) 388-5970.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.