TRIAD PEDIATRICS, LLC
NPI 1477290591
Nurse Practitioner - Family in Kingfisher, OK

Active since May 19, 2022CLIA 37D2319110 · Waiver
1001 HOSPITAL CIR, KINGFISHER, OK 73750(405) 375-7935 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Feb 19, 2025, Feb 10, 2025 and 5 more (8 updates tracked since 2022).

About Triad Pediatrics, Llc NPPES

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

TRIAD PEDIATRICS, LLC (NPI 1477290591) is a healthcare organization registered as a family in Kingfisher, Oklahoma and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through February 23, 2027 and lists Matt Bintz, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1477290591
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRIAD PEDIATRICS, LLC
Location Address1001 HOSPITAL CIRKingfisher, OK 73750-5002
Mailing Address2703 N 14th StPonca City, OK 74601-1738 · (580) 765-9451
Organization SubpartNo
Authorized OfficialMatt BintzCeo/owner · (580) 765-3055
Enumeration DateMay 19, 2022
Last NPPES UpdateSeptember 2, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1477290591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1001 HOSPITAL CIR, Kingfisher, OK 73750

Other Names 2

Other NameTriad Complete Healthcare A14
Other NameTriad Complete Healthcare Z14

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

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 37D2319110

Triad Pediatrics LLC · Kingfisher, OK
Active · expires Feb 23, 2027
CLIA Number37D2319110
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorRyan Reynolds
Laboratory Phone(405) 375-7935
Laboratory LocationTriad Pediatrics LLC1001 Hospital Circle, Kingfisher, OK 73750
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 4

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

Nutritionist (Nutrition, Education)
1001 HOSPITAL CIR
KINGFISHER, OK 73750
Family Medicine
1001 HOSPITAL CIR
KINGFISHER, OK 73750
Nurse Practitioner (Family)
1001 HOSPITAL CIR
KINGFISHER, OK 73750
Nurse Practitioner (Family)
1001 HOSPITAL CIR
KINGFISHER, OK 73750

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 Triad Pediatrics, LLC's NPI number?

The NPI number for Triad Pediatrics, LLC is 1477290591. It was assigned to this organization in the NPPES registry on May 19, 2022. The provider is also known as Triad Complete Healthcare A14 and Triad Complete Healthcare Z14.

Where is Triad Pediatrics, LLC located?

Triad Pediatrics, LLC is located at 1001 Hospital Cir, Kingfisher, OK 73750. The listed phone number is (405) 375-7935.

What is Triad Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Triad Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2319110) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Triad Pediatrics, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Triad Pediatrics, LLC 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 Triad Pediatrics, LLC was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.