Organization Active NPI

Allergy & Asthma Clinic of Northwest Arkansas

  • Specialist
  • Bentonville, AR
National Provider Identifier
1679640148
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E 2999 Issued in AR
Legal business name
ALLERGY & ASTHMA CLINIC OF NORTHWEST ARKANSAS
Practice address
1900 S Walton Blvd
Bentonville, AR 72712-6755
Phone
(479) 254-9777
Fax
(479) 254-9729
NPI assigned
Nov 29, 2006
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Dr. Tina K Merritt Meinholz, M.D.NPI 1891739660
Title
President
Phone
(479) 254-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E 2999 AR Primary

Addresses

Primary practice location

1900 S Walton Blvd
Bentonville, AR 72712-6755

Mailing address

1900 S Walton Blvd
Bentonville, AR 72712-6755
Phone (479) 254-9777

Other identifiers 1

IdentifierTypeStateIssuer
155052002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208001150 AR Part B Supplier - Clinic/Group Practice 5890751044 Receives reassigned benefits from 3 practitioners
Practice locations: Bentonville, AR

National Provider Directory

National Provider Directory

Locations

1900 S Walton Blvd
Bentonville, AR 72712
Phone (479) 254-9777

2200 SE J St
Ste 14
Bentonville, AR 72712
Phone (479) 254-9777

2701 SE J St
Ste 3
Bentonville, AR 72712
Phone (479) 254-9777

2703 SE G St
Ste 7
Bentonville, AR 72712
Phone (479) 254-9777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCHFBA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1679640148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126755",
            "telephone_number": "479-254-9777",
            "fax_number": "479-254-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126755",
            "telephone_number": "479-254-9777",
            "fax_number": "479-254-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CLINIC OF NORTHWEST ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MERRITT MEINHOLZ",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-254-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E 2999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155052002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.