NPIMap

Organization Active NPI

Kids for the Future Rogers, Inc.

  • Developmental Disabilities Clinic/Center
  • Rogers, AR
National Provider Identifier
1508037870
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
25537 Issued in AR
Legal business name
KIDS FOR THE FUTURE ROGERS, INC.
Practice address
3307 N Dixieland Rd
Rogers, AR 72756-6816
Phone
(479) 986-5150
Fax
(479) 986-5191
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Richard W Wilde, ED.D.
Title
Clinic Director
Phone
(479) 986-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 25537 AR Primary

Addresses

Primary practice location

3307 N Dixieland Rd
Rogers, AR 72756-6816

Mailing address

PO Box 130
Rogers, AR 72757-0130
Phone (479) 986-5150

National Provider Directory

National Provider Directory

Locations

3307 N Dixieland Rd
Rogers, AR 72756
Phone (479) 986-5150

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1508037870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727570130",
            "telephone_number": "479-986-5150",
            "fax_number": "479-986-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 N DIXIELAND RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566816",
            "telephone_number": "479-986-5150",
            "fax_number": "479-986-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FOR THE FUTURE ROGERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "WILDE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "479-986-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AR",
            "license": "25537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.