Active NPI
Desoto Regional Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Desoto, TX
National Provider Identifier
1003227075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DESOTO REGIONAL DIALYSIS CENTER LLC
- Practice address
- 2651 Bolton Boone Dr
Building B
Desoto, TX 75115-2011 - Phone
- (972) 780-5991
- Fax
- (972) 780-5992
- NPI assigned
- May 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Anne Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2651 Bolton Boone Dr
Building B
Desoto, TX 75115-2011
Mailing address
2651 Bolton Boone Dr
Building B
Desoto, TX 75115-2011
Phone (972) 780-5991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364692901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140625000389 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4587889076 | Practice locations: Desoto, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Desoto Regional Dialysis Center LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 8, 2016
- Medicare certification status
- Active
- Chain
- American Renal Associates
- Dialysis stations
- 25
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
2651 Bolton Boone Dr
#B
Desoto, TX 75115
Phone (972) 780-5991
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1003227075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 BOLTON BOONE DR",
"address_2": "BUILDING B",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152011",
"telephone_number": "972-780-5991",
"fax_number": "972-780-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 BOLTON BOONE DR",
"address_2": "BUILDING B",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152011",
"telephone_number": "972-780-5991",
"fax_number": "972-780-5992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESOTO REGIONAL DIALYSIS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-13",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIEF NURSING OFFICER",
"authorized_official_telephone_number": "208-371-7878"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364692901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.