River Valley Pediatrics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MC-2275 Issued in AR

Legal business name

RIVER VALLEY PEDIATRICS LLC

Practice address

1513 Jenny Lind Rd
Fort Smith, AR 72901-5646

Phone

(479) 784-9000

Fax

(479) 784-9011

NPI assigned

Jun 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Floyd Clardy, M.D.

Title

Chief Medical Officer

Phone

(479) 794-9000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467493825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015646",
            "telephone_number": "479-784-9000",
            "fax_number": "479-784-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015646",
            "telephone_number": "479-784-9000",
            "fax_number": "479-784-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "479-794-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "MC-2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Valley Dental Group PLLC
• River Valley Gastroenterology, PLLC
• River Valley Mobile Dental Clinic
• River Valley Oral & Maxillofacial Surgery PLC
• River Valley Pediatric Dentistry PLLC
• River Valley Primary Care
• River Valley Primary Care Services
• River Valley Primary Care Services
• River Valley Primary Care Services
• River Valley Urgent Care PA

• Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.