Active NPI
Dialysis Services of London LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- London, KY
National Provider Identifier
1376895045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYSIS SERVICES OF LONDON LLC
- Practice address
- 306 South PLZ
London, KY 40741-2645 - Phone
- (606) 862-0110
- Fax
- (606) 862-0210
- NPI assigned
- Oct 5, 2012
- 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
306 South PLZ
London, KY 40741-2645
Mailing address
306 South PLZ
London, KY 40741-2645
Phone (606) 862-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100264080 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121217000141 | KY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6103078399 | Practice locations: London, KY |
National Provider Directory
National Provider DirectoryLocations
306 South Plz
London, KY 40741
Phone (606) 862-0110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1376895045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SOUTH PLZ",
"city": "LONDON",
"state": "KY",
"postal_code": "407412645",
"telephone_number": "606-862-0110",
"fax_number": "606-862-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SOUTH PLZ",
"city": "LONDON",
"state": "KY",
"postal_code": "407412645",
"telephone_number": "606-862-0110",
"fax_number": "606-862-0210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS SERVICES OF LONDON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-05",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"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": "7100264080",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.