Organization Active NPI

Color Country Pediatrics, LLC

  • Pediatrics Physician
  • Cedar City, UT
National Provider Identifier
1083650527
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COLOR COUNTRY PEDIATRICS, LLC
Practice address
1333 N Main St
Cedar City, UT 84720-9113
Phone
(435) 865-0218
Fax
(435) 865-0228
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Brian Burrows
Title
Ceo
Phone
(435) 865-0218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1333 N Main St
Cedar City, UT 84720-9113

Mailing address

PO Box 3040
Cedar City, UT 84721-3040
Phone (435) 865-0218

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1083650527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3040",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847213040",
            "telephone_number": "435-865-0218",
            "fax_number": "435-865-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209113",
            "telephone_number": "435-865-0218",
            "fax_number": "435-865-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOR COUNTRY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-865-0218"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.