KINGSTON DIALYSIS LLC
NPI 1891162301
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Boulder, CO

Active since September 01, 2015
2880 FOLSOM ST STE 110, BOULDER, CO 80304(303) 440-5600(303) 440-4165 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Mar 10, 2021, Jul 16, 2020 and 3 more (6 updates tracked since 2016).

About Kingston Dialysis Llc NPPES

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

KINGSTON DIALYSIS LLC (NPI 1891162301), doing business as Boulder Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Boulder, Colorado and active in the NPI registry since September 2015. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1891162301
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKINGSTON DIALYSIS LLC
Location Address2880 FOLSOM ST STE 110Boulder, CO 80304
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(303) 440-4165
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 1, 2015
Last NPPES UpdateJune 11, 20266 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1891162301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License Licensed in CO · 120301
2880 FOLSOM ST STE 110, Boulder, CO 80304

Other Names 1

Doing Business AsBoulder Dialysis Center

Other Identifiers 1

Medicaid1891162301CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingston Dialysis LLC's NPI number?

The NPI number for Kingston Dialysis LLC is 1891162301. It was assigned to this organization in the NPPES registry on September 1, 2015. The provider is doing business as Boulder Dialysis Center.

Where is Kingston Dialysis LLC located?

Kingston Dialysis LLC is located at 2880 Folsom St Ste 110, Boulder, CO 80304. The listed phone number is (303) 440-5600.

What is Kingston Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Kingston Dialysis LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.