NPIMap

Organization Active NPI

Kaaum Enterprises

  • Developmental Disabilities Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1689158511
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
KAAUM ENTERPRISES
Practice address
155 Printers Parkway
Colorado Springs, CO 80910-6100
Phone
(719) 396-3008
NPI assigned
Sep 17, 2018
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mr. James Ernest Edward Moore, BANPI 1417276676
Title
Ceo/Director of DP Operations
Phone
(719) 580-8810

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

155 Printers Parkway
Colorado Springs, CO 80910-6100

Mailing address

12728 Wheeler Peak Dr
Peyton, CO 80831-8368
Phone (719) 580-8810

Other practice location 1

6675 Bear Tooth Dr
Colorado Springs, CO 80923-5119
Phone (719) 580-8810

Other identifiers 1

IdentifierTypeStateIssuer
54125031MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Kaaum Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1689158511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 WHEELER PEAK DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318368",
            "telephone_number": "719-580-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PARKWAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106100",
            "telephone_number": "719-396-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6675 Bear Tooth Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809235119",
            "country_code": "US",
            "telephone_number": "719-580-8810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAAUM ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ERNEST EDWARD",
        "authorized_official_title_or_position": "CEO/DIRECTOR OF DP OPERATIONS",
        "authorized_official_telephone_number": "719-580-8810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54125031",
            "state": "CO"
        }
    ],
    "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 Mar 25, 2022; 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.