Individual provider Active NPI

Daniel Roberts

  • Audiologist
  • Ogden, UT
National Provider Identifier
1467865816
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10343236-4101 Issued in UT
Practice address
5349 Adams Ave Pkwy
Ste C
Ogden, UT 84405-4736
Phone
(801) 479-3346
Fax
(801) 479-0725
NPI assigned
Jun 3, 2014
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-1045 WY
Audiologist 231H00000X 10343236-4101 UT Primary
Audiologist-Hearing Aid Fitter 237600000X 10343236 UT
Audiologist-Hearing Aid Fitter 237600000X A-1045 WY

Addresses

Primary practice location

5349 Adams Ave Pkwy
Ste C
Ogden, UT 84405-4736

Mailing address

5349 Adams Ave Pkwy
Ste C
Ogden, UT 84405-4736

Other practice location 1

8168 Wy-789
Lander, WY 82520
Phone (307) 438-8341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171122002178 UT Practitioner - Qualified Audiologist 5092933788 Reassigns benefits to 1 organization
I20191028002367 WY Practitioner - Qualified Audiologist 5092933788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Audiology Services LLCGroup PAC ID 0446401194, 9 clinicians

Practice addresses (Care Compare)

1573 Dewar Dr
Suite 2
Rock Springs, WY 82901-5933
Phone (801) 479-3346

5349 Adams Ave Pkwy
Suite C
Ogden, UT 84405-4736
Phone (801) 479-3346

5349 S 500 E C
Ogden, UT 84405-4736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10343236-4101UTMDAudiologist
10343236UTMDAudiologist-Hearing Aid Fitter
A-1045WYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Audiology Services LLC Audiologist CurrentSince Dec 1, 2017 Accepting new patients

Locations

5349 Adams Avenue Pkwy
#C
Ogden, UT 84405
Phone (801) 479-0725

8168 State Highway 789
Lander, WY 82520
Phone (307) 332-5240

1573 Dewar Dr
Ste 2
Rock Springs, WY 82901
Phone (307) 362-8221

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, 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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1467865816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 ADAMS AVE PKWY",
            "address_2": "STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 ADAMS AVE PKWY",
            "address_2": "STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-3346",
            "fax_number": "801-479-0725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8168 WY-789",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "82520",
            "country_code": "US",
            "telephone_number": "307-438-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A-1045",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "10343236-4101",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "10343236",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WY",
            "license": "A-1045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.