NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES NPI 1396856084

NPI Information

  • NPI: 1396856084
  • Provider Name: NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: REGIONAL KIDNEY CENTER BENTONVILLE DIALYSIS CLINIC
  • Address: 1104 SE 30TH ST
    BENTONVILLE, AR
    ZIP 72712
  • Phone: (479) 657-6220

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NPI Details

NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES is a nephrology internal medicine in Bentonville, AR. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES NPI is 1396856084. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regional Kidney Center Bentonville Dialysis Clinic.

The provider's business location address is:

1104 SE 30TH ST
BENTONVILLE, AR
ZIP 72712-290
Phone: (479) 657-6220
Fax: (479) 657-6229

The provider's authorized official is Fred Smardo .
The authorized official title is Buisness Owner and has the following contact phone number (479) 443-6688.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyE2362ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112540OTHERARKANSASBCBS
2G28542MEDICARE UPINARKANSAS
3042540MEDICARE OSCAR/CERTIFICATIONARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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