Cranston Pediatrics LLC Dba Park Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD11641 Issued in RI

Legal business name

CRANSTON PEDIATRICS LLC DBA PARK PEDIATRICS INC

Doing business as

Park Pediatrics, Inc

Practice address

801 Park Ave
Cranston, RI 02910-2036

Phone

(401) 274-6575

Fax

(401) 273-2597

NPI assigned

Apr 24, 2007

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rick Manuel Quiles, M.D.NPI 1518956184

Title

President

Phone

(401) 274-6575

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Park Pediatrics, Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rick Manuel Quiles, M.D.

  • Pediatrics Physician
  • Cranston, RI
  • NPI 1518956184
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1669690418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102036",
            "telephone_number": "401-274-6575",
            "fax_number": "401-273-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102036",
            "telephone_number": "401-274-6575",
            "fax_number": "401-273-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANSTON PEDIATRICS LLC DBA PARK PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "QUILES",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-274-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD11641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004316",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHMATE",
            "identifier": "412877",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "30943",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412877",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLAN",
            "identifier": "25-79403",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31923-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "MD 11641",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Pediatrics, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cranston Dental Associates, LLC
• Cranston East Medical Clinic
• Cranston Eye Associates Inc.
• Cranston Family and Cosmetic Dentistry
• Cranston Pediatric Dentistry PC
• Cranston Public Schools
• Cranston Public Schools
• Michaela Margaret Crawley
• Create Balance, LLC
• Creative Counseling

• Pediatrics Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.