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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENDALL D. WAGNER, M.D., PLLC
NPI 1528721271
Clinic/Center - Primary Care in Little Rock, AR

Active since October 20, 2021
500 S UNIVERSITY AVE STE 702, LITTLE ROCK, AR 72205(501) 766-6311(472) 227-2345 Get Directions Write a Review

NPPES record last updated: September 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 13, 2026, Oct 20, 2021 (2 updates tracked since 2021).

About Kendall D. Wagner, M.d., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL D. WAGNER, M.D., PLLC (NPI 1528721271) is a healthcare organization registered as a primary care in Little Rock, Arkansas and active in the NPI registry since October 2021. The organization lists Kendall Darren Wagner, Physician, as its authorized official.

NPPES Registry Identity

NPI1528721271
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKENDALL D. WAGNER, M.D., PLLC
Location Address500 S UNIVERSITY AVE STE 702Little Rock, AR 72205-5309
Mailing Address46 Miramont CirLittle Rock, AR 72223-3301 · (501) 766-6311 · Fax (479) 227-2345
Phone(501) 766-6311
Fax(472) 227-2345
Organization SubpartNo
Authorized OfficialKendall Darren WagnerPhysician · (501) 766-6311
Enumeration DateOctober 20, 2021
Last NPPES UpdateSeptember 13, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2026
✔ NPI 1528721271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
500 S UNIVERSITY AVE STE 702, Little Rock, AR 72205
Open in Google Maps ↗

Other Identifiers 1

Medicaid202855001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBY RAE BROGDON OD
Optometrist
500 S UNIVERSITY AVE STE 702
LITTLE ROCK, AR 72205
Pulaski County (501) 508-2660
DR. KENDALL DARREN WAGNER M.D.
Internal Medicine
500 S UNIVERSITY AVE STE 702
LITTLE ROCK, AR 72205
Pulaski County (501) 766-6311
DRY EYE CENTER OF ARKANSAS
Optometrist
500 S UNIVERSITY AVE STE 702
LITTLE ROCK, AR 72205
Pulaski County (501) 508-2660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall D. Wagner, M.D., PLLC's NPI number?

The NPI number for Kendall D. Wagner, M.D., PLLC is 1528721271. It was assigned to this organization in the NPPES registry on October 20, 2021.

Where is Kendall D. Wagner, M.D., PLLC located?

Kendall D. Wagner, M.D., PLLC is located at 500 S University Ave Ste 702, Little Rock, AR 72205. The listed phone number is (501) 766-6311.

What is Kendall D. Wagner, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Kendall D. Wagner, M.D., PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Kendall D. Wagner, M.D., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendall D. Wagner, M.D., PLLC was last updated on September 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.