Individual provider Active NPI

David Andrew Luther, AU.D.

  • Audiologist
  • Lake Oswego, OR
National Provider Identifier
1316373210
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30785 Issued in OR
Practice address
16699 Boones Ferry Rd
Suite 110
Lake Oswego, OR 97035-4366
Phone
(503) 636-4014
Fax
(503) 636-4031
NPI assigned
Sep 24, 2013
Last updated
Aug 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30785 OR Primary

Addresses

Primary practice location

16699 Boones Ferry Rd
Suite 110
Lake Oswego, OR 97035-4366

Mailing address

8321 Sangre de Cristo Rd
Suite 202
Littleton, CO 80127-6425
Phone (303) 984-4414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140226000610 OR Practitioner - Qualified Audiologist 6709016454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30785ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Apr 1, 2025 Accepting new patients
Hearx West, LLC Past Accepting new patients

Locations

11400 N Jog Rd
Ste 200
Palm Beach Gardens, FL 33418

16699 Boones Ferry Rd
Ste 110
Lake Oswego, OR 97035
Phone (503) 636-4014

1001 Molalla Ave
Ste 100
Oregon City, OR 97045
Phone (503) 656-5273

15405 SW 116th Ave
Ste 200
Portland, OR 97224
Phone (503) 675-0148

1560 Commercial St SE
Salem, OR 97302
Phone (503) 364-3501

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1316373210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 SANGRE DE CRISTO RD",
            "address_2": "SUITE 202",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276425",
            "telephone_number": "303-984-4414",
            "fax_number": "303-984-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16699 BOONES FERRY RD",
            "address_2": "SUITE 110",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354366",
            "telephone_number": "503-636-4014",
            "fax_number": "503-636-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.