NPIMap

Organization Active NPI

Eaton Therapeutic Center

  • Public Health or Welfare Agency
  • Eaton, CO
National Provider Identifier
1982871380
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
14277290000 Issued in CO
Legal business name
EATON THERAPEUTIC CENTER
Practice address
123 Elm Ave
Eaton, CO 80615-3425
Phone
(970) 454-2224
Fax
(970) 454-3147
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Mrs. Dorothy Arleen Mongan, C.M.T.NPI 1245521137
Title
Massage Therapist
Phone
(970) 454-2224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 14277290000 CO Primary

Addresses

Primary practice location

123 Elm Ave
Eaton, CO 80615-3425

Mailing address

123 Elm Ave
Eaton, CO 80615-3425
Phone (970) 454-2224

National Provider Directory

National Provider Directory
Tax ID family
Eaton Therapeutic Center2 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.

Locations

123 Elm Ave
Eaton, CO 80615
Phone (970) 454-2224

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1982871380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ELM AVE",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153425",
            "telephone_number": "970-454-2224",
            "fax_number": "970-454-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ELM AVE",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153425",
            "telephone_number": "970-454-2224",
            "fax_number": "970-454-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MONGAN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "ARLEEN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "970-454-2224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.M.T."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CO",
            "license": "14277290000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.