OrganizationActive
Dentsville Kidney Center LLC
NPI 1912209123 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Columbia, SC
Provider details
- NPI number
- 1912209123
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Brady, Chief Nursing Officer(208) 371-7878
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
201 Columbia Mall Blvd
Suite 141
Columbia, SC 29223-7536
Phone: (803) 865-1068
Fax: (803) 865-1089
Approximate (ZIP-level) locationGet directions
Mailing address
201 Columbia Mall Blvd
Columbia, SC 29223-7536
Registry dates
- Enumerated
- 2010-11-19
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.