OrganizationActive
Waldron Place Pediatric Clinic, Inc
NPI 1013047356 · Clinic/Center · Fort Smith, AR
Waldron Place Pediatric Clinic, Inc is a Clinic/Center organization in Fort Smith, AR (NPI 1013047356).
Provider details
- NPI number
- 1013047356
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Federico De Miranda, Owner(479) 452-8311
- License
- C-5393 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1501 S Waldron Rd Ste 202
Fort Smith, AR 72903-2598
Phone: (479) 452-8311
Fax: (479) 452-5032
Street-level locationGet directions
Mailing address
1501 S Waldron Rd Ste 202
Fort Smith, AR 72903-2598
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Waldron Place Pediatric Clinic, Inc's NPI number?
- Waldron Place Pediatric Clinic, Inc's National Provider Identifier (NPI) is 1013047356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waldron Place Pediatric Clinic, Inc?
- Waldron Place Pediatric Clinic, Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Waldron Place Pediatric Clinic, Inc located?
- Waldron Place Pediatric Clinic, Inc's practice location on file with NPPES is 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903-2598.
- What is Waldron Place Pediatric Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Waldron Place Pediatric Clinic, Inc is (479) 452-8311.
- Who is the authorized official for Waldron Place Pediatric Clinic, Inc?
- The authorized official listed on Waldron Place Pediatric Clinic, Inc's NPPES record is Federico De Miranda, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waldron Place Pediatric Clinic, Inc's NPI active?
- Yes — Waldron Place Pediatric Clinic, Inc's NPI (1013047356) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.