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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jack T Fendley, M.D.

Internal Medicine Physician in North Little Rock, AR · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821074592

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Registry record

Entity type Individual (Type 1)
Name Dr. Jack T Fendley
Credential M.D.
Sex Male
Practice address 3500 Springhill Dr Ste 100, North Little Rock, AR, 72117
Phone (501) 955-5589
Fax (501) 955-5960
Enumeration date Dec 15, 2005
Last updated in NPPES Mar 23, 2018

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License C4596 (AR) Secondary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians · License C4596 (AR) Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License C4596 (AR) Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License C4596 (AR) Secondary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License C4596 (AR) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License C4596 (AR) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0420289 Other AR UNITED HEALTHCARE ID
110190362 Other AR RR MCARE PROVIDER ID
11306000000 Other AR QUALCHOICE PROVIDER ID
106701001 Medicaid AR -
4234056 Other AR AETNA PROVIDER ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jack Fendley's NPI record?
Cross-check NPI 1821074592 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1821074592 active?
Yes, as of the latest NPPES snapshot, NPI 1821074592 is active (record last updated 2018-03-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-23.