Organization Active NPI

Exton Enterprises, Inc.

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1194104380
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EXTON ENTERPRISES, INC.
Practice address
3755 Briargate Blvd
Suite 220
Colorado Springs, CO 80920-4195
Phone
(719) 505-3051
Fax
(719) 213-2305
NPI assigned
May 21, 2015
Last updated
May 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Kristin J ExtonNPI 1386991875
Title
Owner
Phone
(719) 505-3051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3755 Briargate Blvd
Suite 220
Colorado Springs, CO 80920-4195

Mailing address

3755 Briargate Blvd
Suite 220
Colorado Springs, CO 80920-4195
Phone (719) 505-3051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150831000099 CO Part B Supplier - Clinic/Group Practice 3779899216 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

3755 Briargate Blvd
Ste 220
Colorado Springs, CO 80920
Phone (719) 201-3048

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1194104380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 BRIARGATE BLVD",
            "address_2": "SUITE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204195",
            "telephone_number": "719-505-3051",
            "fax_number": "719-213-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BRIARGATE BLVD",
            "address_2": "SUITE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204195",
            "telephone_number": "719-505-3051",
            "fax_number": "719-213-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTON ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "EXTON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-505-3051"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.