OrganizationActive
Kendall D. Wagner, M.D., PLLC
NPI 1528721271 · Primary Care Clinic/Center · Fort Smith, AR
Provider details
- NPI number
- 1528721271
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kendall Wagner, Physician(501) 766-6311
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
11300 Roberts Blvd
Fort Smith, AR 72916-6027
Phone: (000) 000-0000
Street-level locationGet directions
Mailing address
8331 Howard Hill Rd
Fort Smith, AR 72916-9787
Other names (DBA / former)
- Doing business as
- Chaffee Crossing Clinic
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-20
- Certified
- 2021-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.