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DIRECT CARE CLINIC OF NORTHWEST ARKANSAS
NPI 1912392176
Internal Medicine in Rogers, AR

Active since April 03, 2015CLIA 04D2131666 · Waiver
2103 S 54TH ST, SUITE 1, ROGERS, AR 72758(479) 268-4504(479) 268-5279 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Direct Care Clinic Of Northwest Arkansas NPPES

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

DIRECT CARE CLINIC OF NORTHWEST ARKANSAS (NPI 1912392176) is a healthcare organization registered as an internal medicine in Rogers, Arkansas and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Daniel Weeden, President, as its authorized official.

NPPES Registry Identity

NPI1912392176
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTEGRITAS LLC
Location Address2103 S 54TH ST, SUITE 1Rogers, AR 72758-8169
Mailing Address2103 S 54th St, Suite 1Rogers, AR 72758-8169 · (479) 268-4504 · Fax (479) 268-5279
Phone(479) 268-4504
Fax(479) 268-5279
Organization SubpartNo
Authorized OfficialDaniel WeedenPresident · (479) 268-4504
Enumeration DateApril 3, 2015
Last NPPES UpdateApril 10, 2015
✔ NPI 1912392176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
2103 S 54TH ST, Rogers, AR 72758
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Other Names 1

Doing Business AsDirect Care Clinic Of Northwest Arkansas

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2131666

Direct Care Clinic Of Nwa Integritas LLC · Rogers, AR
Active · expires Jun 4, 2027
CLIA Number04D2131666
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDr. Joel Fankhauser
Laboratory Phone(479) 268-4504
Laboratory LocationDirect Care Clinic Of Nwa Integritas LLC2104 S 54th Street Ste 4, Rogers, AR 72758
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JOEL B. FANKHAUSER MD
Internal Medicine (Adolescent Medicine)
2103 S 54TH ST, SUITE 1
ROGERS, AR 72758
Benton County (479) 268-4504

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 Integritas LLC's NPI number?

The NPI number for Integritas LLC is 1912392176. It was assigned to this organization in the NPPES registry on April 3, 2015. The provider is doing business as Direct Care Clinic Of Northwest Arkansas.

Where is Integritas LLC located?

Integritas LLC is located at 2103 S 54th St Suite 1, Rogers, AR 72758. The listed phone number is (479) 268-4504.

What is Integritas LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Integritas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2131666) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integritas LLC was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.