Active NPI
Puzzle Pediatrics LLC
- Pediatrics Physician
- Price, UT
National Provider Identifier
1205448057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2191754 | Puzzle Pediatrics | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
230 N Hospital Dr
Ste 3
Price, UT 84501
Phone (435) 637-1100
Interoperability endpoints
- 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
- Price Family Pharmacy, Inc. (Price Family Pharmacy)
- Price Family Pharmacy, Inc.
- Price Healthcare, Inc. (Pinnacle Nursing and Rehabilitation Center)
- Stephanie Rae Procarione
- Prorehab Physical Therapy
- Daniel Quick-Parry, LPN
- Donovan T Quintana
- Connie Kim Quinton, APRN MSN FNP
- Kaylee Quinton, RN
- Redcliffs Selectcare, Inc
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.