Active NPI
Xplosion Technology Corporation
- Family Medicine Physician
- Missouri City, TX
National Provider Identifier
1699573733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- XPLOSION TECHNOLOGY CORPORATION
- Practice address
- 1803 Ambassador CT
Missouri City, TX 77459-3758 - Phone
- (832) 969-3686
- NPI assigned
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isis Ashford
- Title
- Coo
- Phone
- (832) 969-3686
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Nurse | 163W00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| General Practice Physician | 208D00000X | |||
| Clinical Nurse Specialist | 364S00000X |
Addresses
Primary practice location
1803 Ambassador CT
Missouri City, TX 77459-3758
Mailing address
1803 Ambassador CT
Missouri City, TX 77459-3758
Phone (832) 969-3686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251028001101 | TX | Part B Supplier - Clinic/Group Practice | 3375032659 |
Receives reassigned benefits from 1 practitioner Practice locations: Missouri City, TX |
| O20260123000963 | FL | Part B Supplier - Clinic/Group Practice | 3375032659 |
Receives reassigned benefits from 1 practitioner Practice locations: Orlando, FL |
National Provider Directory
National Provider DirectoryLocations
5900 Balcones Dr
#24993
Austin, TX 78731
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Cumming, GA
- NPI 1831148063
FL, Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1699573733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 AMBASSADOR CT",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593758",
"telephone_number": "832-969-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 AMBASSADOR CT",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593758",
"telephone_number": "832-969-3686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XPLOSION TECHNOLOGY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "ASHFORD",
"authorized_official_first_name": "ISIS",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "832-969-3686"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.