OrganizationActive
Bentonville Dialysis
NPI 1639597628 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tacoma, WA
Provider details
- NPI number
- 1639597628
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kent Thiry, Ceo(303) 876-6000
- License
- 1306024294 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1423 Pacific Ave
Tacoma, WA 98402-4203
Phone: (253) 382-1752
Street-level locationGet directions
Mailing address
1104 Se 30th St
Bentonville, AR 72712-4290
Other names (DBA / former)
- Other name
- Total Renal Care Inc
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2014-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.