OrganizationActive
Ntkc Management, LLC
NPI 1376735829 · Nephrology Physician · Grapevine, TX
Provider details
- NPI number
- 1376735829
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Baccus, Chief Operating Officer(817) 375-0610
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 W College St
Suite 410
Grapevine, TX 76051-3580
Phone: (817) 375-0610
Fax: (817) 375-0640
Street-level locationGet directions
Mailing address
3030 Matlock Rd
Arlington, TX 76015-2935
Other names (DBA / former)
- Doing business as
- North Texas Kidney Consultants
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2008-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.