Individual provider Active NPI

Jeffrey K Davis, H.A.D.

  • Hearing Instrument Specialist
  • Fort Collins, CO
National Provider Identifier
1013330638
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD.0000286 Issued in CO
Practice address
2531 S Shields St
Unit 2G
Fort Collins, CO 80526-1886
Phone
(970) 484-8051
Fax
(970) 484-1087
NPI assigned
Feb 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADS000899 GA
Hearing Instrument Specialist 237700000X HAD.0000286 CO Primary

Addresses

Primary practice location

2531 S Shields St
Unit 2G
Fort Collins, CO 80526-1886

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (800) 328-8602

Other practice location 1

3400 W 16th St Ste H
Greeley, CO 80634-6869
Phone (970) 484-8051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAD.0000286COMDHearing Instrument Specialist
HADS000899GAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Hearing Instrument Specialist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1013330638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405",
            "telephone_number": "800-328-8602",
            "fax_number": "952-285-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 S SHIELDS ST",
            "address_2": "UNIT 2G",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261886",
            "telephone_number": "970-484-8051",
            "fax_number": "970-484-1087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W 16th St Ste H",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806346869",
            "country_code": "US",
            "telephone_number": "970-484-8051",
            "fax_number": "970-484-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "credential": "H.A.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS000899",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "HAD.0000286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.