Individual provider Active NPI

David Michael Hardin, MD

  • Surgery Physician
  • Parker, CO
National Provider Identifier
1639174907
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A82975 Issued in CA
Practice address
9399 Crown Crest Blvd
Suite 430
Parker, CO 80138-8506
Phone
(303) 269-2310
Fax
(904) 446-3013
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A82975 CA Primary
Surgery Physician 208600000X MD29305 OR

Addresses

Primary practice location

9399 Crown Crest Blvd
Suite 430
Parker, CO 80138-8506

Mailing address

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256-6017
Phone (904) 446-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318002011 CO Practitioner - General Surgery 8527118785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9399 Crown Crest Blvd
Suite 430
Parker, CO 80138-8527
Phone (303) 269-2310

990 E Harvard Ave
Denver, CO 80210-7008
Phone (303) 778-5242

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82975CAMDSurgery Physician
MD29305ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Trauma Physicians Medical Group Surgery Past Accepting new patients
Sutter Trauma Assessment Team Surgery Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1639174907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD",
            "address_2": "STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "904-446-3451",
            "fax_number": "904-446-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD",
            "address_2": "SUITE 430",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388506",
            "telephone_number": "303-269-2310",
            "fax_number": "904-446-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A82975",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD29305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.