{
 "page": "https://getprovyx.com/research/organizations/total-renal-care-inc/",
 "source": {
  "name": "CMS NPPES Data Dissemination V.2, full replacement monthly file, September 2026",
  "cms_label": "NPPES Data Dissemination V.2 (September 14, 2026)",
  "url": "https://download.cms.gov/nppes/NPPES_Data_Dissemination_September_2026_V2.zip",
  "index_page": "https://download.cms.gov/nppes/NPI_Files.html",
  "file_date": "2026-09-14",
  "records_through": "2026-09-13",
  "zip_sha256": "6573e0d148c18a9a9d974248d77447744bd9666aa288c38d13ebf3d766e3cec4",
  "weekly_files": [
   {
    "file": "NPPES_Data_Dissemination_090726_091326_Weekly_V2.zip",
    "sha256": "a46550345a0662cfd8b5f1207024fc0bf89ccc462de0b82721f083830258a05e"
   },
   {
    "file": "NPPES_Data_Dissemination_091426_092026_Weekly_V2.zip",
    "sha256": "2751dd5776633397a6de34b7dca15d33df0bfdd2d23909700fca584c2eb1aee8"
   },
   {
    "file": "NPPES_Data_Dissemination_092126_092726_Weekly_V2.zip",
    "sha256": "87d1ee787b146e0ceadc8dee1497f7b6d9700681a1d9dba8c98c2c4f0d0c9aa8"
   }
  ],
  "taxonomy": {
   "name": "NUCC Health Care Provider Taxonomy code set 26.1",
   "url": "https://www.nucc.org/images/stories/CSV/nucc_taxonomy_261.csv",
   "sha256": "0615cce1dac2fae75e8a0497657fd3ad81f9505c829fb6129a6551583f4fe0fb"
  }
 },
 "extract": {
  "file": "total-renal-care-inc.json",
  "sha256": "07a60b288a4e28b49965f6820e215683bc840f80df66226df04742172e92dfce",
  "extracted_at": "2026-10-04T07:36:26.176023Z"
 },
 "secondary_sources": {
  "census_zip_geo": [
   {
    "source": "census_cbsa",
    "version": "2023 delineation (list1_2023)"
   },
   {
    "source": "census_zcta_county",
    "version": "2020 relationship file"
   },
   {
    "source": "census_gazetteer",
    "version": "2023"
   },
   {
    "source": "census_county_shapes",
    "version": "cb_2025_us_county_500k.zip"
   }
  ]
 },
 "downloads": {
  "total-renal-care-inc.csv": "11fa625a4f1b048c2ac1d89bbbcaba4cbfbf84c1c65b9fb0b84aa071eb680d6d",
  "total-renal-care-inc.json": "adae1bd326975fe3d122814e54914ac2bd342f72e72cb75a69ebde982f36e03f"
 },
 "review": {
  "owner": "Rome (Provyx)",
  "trigger": "each monthly NPPES full file (next: October 2026 release), or a correction report; figures are re-derived from the new file",
  "next_review": "the October 2026 NPPES full file",
  "built": "2026-10-04"
 }
}