Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Norman Dialysis Center of Wake Forest University

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

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

National Provider Identifier

1134106198

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Registry record

Entity type Organization (Type 2)

Legal business name Lake Norman Dialysis Center of Wake Forest University

Other name <Unavail>

Practice address 164 Professional Park Dr, Mooresville, NC, 28117

Phone (704) 799-1860

Fax (704) 799-1867

Enumeration date Dec 29, 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 Credentialng Coord.

Phone (229) 387-3528

Other identifiers

Identifier	Type	State	Issuer
3402606	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 is the NPI number for Lake Norman Dialysis Center of Wake Forest University?

The NPI for Lake Norman Dialysis Center of Wake Forest University is 1134106198, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Lake Norman Dialysis Center of Wake Forest University?

NPPES lists Kimberly Johnson (Credentialng Coord.) as the authorized official for this organization.

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