Dentsville Kidney Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DENTSVILLE KIDNEY CENTER LLC

Practice address

201 Columbia Mall Blvd
Suite 141
Columbia, SC 29223-7536

Phone

(803) 865-1068

Fax

(803) 865-1089

NPI assigned

Nov 19, 2010

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Dentsville Kidney CenterCCN 422654

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 12, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

10

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ashraf Ali Chattha, M.D.

  • Nephrology Physician
  • Columbia, SC
  • NPI 1073555983

  Dialysis facility

  Care Compare affiliation Name & address match
• Muhammad Amir Rafiq, MD

  • Nephrology Physician
  • Columbia, SC
  • NPI 1639337835

  Dialysis facility

  Care Compare affiliation Name & address match
• Abdul Basit Usmani, M.D.

  • Nephrology Physician
  • Columbia, SC
  • NPI 1629235700

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1912209123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COLUMBIA MALL BLVD",
            "address_2": "SUITE 141",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237536",
            "telephone_number": "803-865-1068",
            "fax_number": "803-865-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLUMBIA MALL BLVD",
            "address_2": "SUITE 141",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237536",
            "telephone_number": "803-865-1068",
            "fax_number": "803-865-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTSVILLE KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "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": "RE0065",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals of South Carolina, P.C.
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• Dentists of Devine, PC
• Dentrust Dental South Carolina PC
• Department of Defence
• Department of Health and Environmental Control
• Department of Internal Medicine
• Department of Internal Medicine
• Department of Juvenile Justice

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

• 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.

Verify at the official NPI Registry.