Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northside Dialysis Center of Wake Forest University

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Winston Salem, NC · enumerated 2005 · authorized official Kimberly Johnson, Credentialing Coord..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114904133

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Registry record

Entity type Organization (Type 2)

Legal business name Northside Dialysis Center of Wake Forest University

Other name <Unavail>

Practice address 500 W Hanes Mill Rd, Winston Salem, NC, 27105

Phone (336) 744-0577

Fax (336) 744-9021

Enumeration date Dec 30, 2005

Last updated in NPPES Feb 9, 2026

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kimberly Johnson

Title Credentialing Coord.

Phone (229) 387-3528

Other identifiers

Identifier	Type	State	Issuer
3402612	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Northside Dialysis Center of Wake Forest University?

Northside Dialysis Center of Wake Forest University is registered in NPPES as a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-09.