Organization Active NPI

Dialysis Services of London LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • London, KY
National Provider Identifier
1376895045
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on May 20, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100264080MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121217000141 KY Part A Provider - End-Stage Renal Disease Facility (ESRD) 6103078399 Practice locations: London, KY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.