Organization Active NPI

Puzzle Pediatrics LLC

  • Pediatrics Physician
  • Price, UT
National Provider Identifier
1205448057
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PUZZLE PEDIATRICS LLC
Practice address
230 N Hospital Dr Ste 3
Price, UT 84501-4222
Phone
(208) 407-0691
NPI assigned
Aug 21, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Charles T Criddle, DO
Title
DO/Owner
Phone
(208) 407-0691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

230 N Hospital Dr Ste 3
Price, UT 84501-4222

Mailing address

312 N 700 E
Price, UT 84501-2702
Phone (208) 407-0691

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2191754Puzzle Pediatrics230 N Hospital Dr BLD 3, Suite 3, Price, UT 84501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

230 N Hospital Dr
Ste 3
Price, UT 84501
Phone (435) 637-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22110/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1205448057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N 700 E",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012702",
            "telephone_number": "208-407-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N HOSPITAL DR STE 3",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014222",
            "telephone_number": "208-407-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUZZLE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "CRIDDLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "208-407-0691",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.