{"npi":"1154777068","type":"NPI-2","status":"active","name":{"display":"North Texas Kidney Disease Associates","other":[],"organization_name":"NORTH TEXAS KIDNEY DISEASE ASSOCIATES","authorised_official":"Sirena Martin"},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4333 N JOSEY LN STE 103","city":"CARROLLTON","state":"TX","postal_code":"750104620","country_code":"US","phone":"9722190558","fax":"9724369273"},{"purpose":"MAILING","street_1":"1600 WATERS RIDGE DR STE A","city":"LEWISVILLE","state":"TX","postal_code":"750576039","country_code":"US","phone":"9722190558","fax":"2144667237"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"146883702","state":"TX","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-05-10","last_updated":"2024-07-17","_meta":{"source":"NPPES","snapshot_date":"2024-07-17","doc_url":"https://findmynpi.com/api"}}