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DENTSVILLE KIDNEY CENTER LLC
NPI 1912209123
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Columbia, SC

Active since November 19, 2010CLIA 42D1086537 · Waiver
2/5
Overall Rating
201 COLUMBIA MALL BLVD, SUITE 141, COLUMBIA, SC 29223(803) 865-1068(803) 865-1089 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Jan 10, 2023, Aug 18, 2022 and 4 more (7 updates tracked since 2015).

About Dentsville Kidney Center Llc NPPES

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

DENTSVILLE KIDNEY CENTER LLC (NPI 1912209123) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Columbia, South Carolina and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1912209123
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDENTSVILLE KIDNEY CENTER LLC
Location Address201 COLUMBIA MALL BLVD, SUITE 141Columbia, SC 29223-7536
Mailing Address201 Columbia Mall Blvd, Suite 141Columbia, SC 29223-7536 · (803) 865-1068 · Fax (803) 865-1089
Phone(803) 865-1068
Fax(803) 865-1089
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateNovember 19, 2010
Last NPPES UpdateMay 19, 20267 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1912209123 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
201 COLUMBIA MALL BLVD, Columbia, SC 29223
Open in Google Maps ↗

Other Identifiers 1

MedicaidRE0065SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1086537

Dentsville Kidney Center LLC · Columbia, SC
Active · expires Jul 14, 2028
CLIA Number42D1086537
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorDr. Ashraf A. Chattha
Laboratory Phone(803) 865-1068
Laboratory LocationDentsville Kidney Center LLC201 Columbia Mall Blvd, Suite 141, Columbia, SC 29223
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Dentsville Kidney Center (CMS certification number 422654), from CMS Care Compare.

Dentsville Kidney Center

Dialysis facility · Columbia, SC
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainAmerican Renal Associates
CMS Certification Number422654
ESRD NetworkNetwork 6
Hemodialysis Stations10
Medicare-Certified SinceOctober 12, 2015
Location201 Columbia Mall Blvd Suite 141Columbia, SC 29223 · Richland County
Phone(803) 865-1068
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DECKER DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
201 COLUMBIA MALL BLVD, STE 141
COLUMBIA, SC 29223
Richland County (615) 320-4521

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 Dentsville Kidney Center LLC's NPI number?

The NPI number for Dentsville Kidney Center LLC is 1912209123. It was assigned to this organization in the NPPES registry on November 19, 2010.

Where is Dentsville Kidney Center LLC located?

Dentsville Kidney Center LLC is located at 201 Columbia Mall Blvd Suite 141, Columbia, SC 29223. The listed phone number is (803) 865-1068.

What is Dentsville Kidney Center 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.

Does Dentsville Kidney Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1086537) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dentsville Kidney Center LLC a Medicare-certified dialysis facility?

Yes. Dentsville Kidney Center is a Medicare-certified dialysis facility, certified since October 12, 2015.

What quality rating does Dentsville Kidney Center LLC have?

CMS rates Dentsville Kidney Center 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Dentsville Kidney Center LLC accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Dentsville Kidney Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dentsville Kidney Center LLC was last updated on May 19, 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.