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PUDDLE DOCK PEDIATRICS PLLC
NPI 1376324533
Pediatrics in Portsmouth, NH

Active since October 12, 2023CLIA 30D2294116 · Waiver
200 GRIFFIN RD STE 12A, PORTSMOUTH, NH 03801(603) 457-7040 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Puddle Dock Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUDDLE DOCK PEDIATRICS PLLC (NPI 1376324533) is a healthcare organization registered as a pediatrics in Portsmouth, New Hampshire and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Alyssa Reyes Smith, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1376324533
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePUDDLE DOCK PEDIATRICS PLLC
Location Address200 GRIFFIN RD STE 12APortsmouth, NH 03801-7145
Mailing Address200 Griffin Rd Ste 12aPortsmouth, NH 03801-7145
Phone(603) 457-7040
Organization SubpartNo
Authorized OfficialAlyssa Reyes SmithOwner/physician · (603) 457-7040
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1376324533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 GRIFFIN RD STE 12A, Portsmouth, NH 03801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2294116

Puddle Dock Pediatrics PLLC · Portsmouth, NH
Active · expires Nov 19, 2027
CLIA Number30D2294116
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorAlyssa R. Smith
Laboratory Phone(603) 457-7040
Laboratory LocationPuddle Dock Pediatrics PLLC200 Griffin Rd, Ste 12A, Portsmouth, NH 03801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WALTER ARNOLD HOERMAN MD
Pediatrics
200 GRIFFIN RD STE 12A
PORTSMOUTH, NH 03801
Rockingham County (603) 692-4018
ALYSSA REYES SMITH M.D.
Pediatrics
200 GRIFFIN RD STE 12A
PORTSMOUTH, NH 03801
Rockingham County (603) 457-7040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Puddle Dock Pediatrics PLLC's NPI number?

The NPI number for Puddle Dock Pediatrics PLLC is 1376324533. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Puddle Dock Pediatrics PLLC located?

Puddle Dock Pediatrics PLLC is located at 200 Griffin Rd Ste 12A, Portsmouth, NH 03801. The listed phone number is (603) 457-7040.

What is Puddle Dock Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Puddle Dock Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2294116) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Puddle Dock Pediatrics PLLC accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Puddle Dock Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Puddle Dock Pediatrics PLLC was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.