Individual provider Active NPI

Cory Stephen Tickle, AU.D.

  • Audiologist
  • Lakewood, CO
National Provider Identifier
1669764288
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
633 Issued in CO
Practice address
445 Union Blvd Ste 124
Lakewood, CO 80228-1239
Phone
(303) 233-3142
Fax
(303) 233-3719
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 633 CO Primary

Addresses

Primary practice location

445 Union Blvd Ste 124
Lakewood, CO 80228-1239

Mailing address

445 Union Blvd Ste 124
Lakewood, CO 80228-1239
Phone (303) 233-3142

Other practice location 1

7375 W 52nd Ave Ste 110
Arvada, CO 80002-3748
Phone (720) 739-5818

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cory@coloradoearcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130701000358 CO Practitioner - Qualified Audiologist 0941440671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Ear Care LLCGroup PAC ID 1153746466, 9 clinicians

Practice addresses (Care Compare)

7375 W 52ND Ave
Suite 110
Arvada, CO 80002-3748
Phone (303) 233-3142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
633COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Ear Care LLC Audiologist CurrentSince Aug 15, 2020 Accepting new patients

Locations

7375 W 52nd Ave
Ste 110
Arvada, CO 80002
Phone (720) 739-5818

1189 S Perry St
Ste 120
Castle Rock, CO 80104
Phone (303) 228-1277

3400 W 16th St
Ste Dd
Greeley, CO 80634
Phone (303) 233-3142

445 Union Blvd
Ste 124
Lakewood, CO 80228
Phone (303) 233-3142

400 S McCaslin Blvd
Ste 212
Superior, CO 80027
Phone (303) 926-7300

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1669764288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 UNION BLVD STE 124",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281239",
            "telephone_number": "303-233-3142",
            "fax_number": "303-233-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 UNION BLVD STE 124",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281239",
            "telephone_number": "303-233-3142",
            "fax_number": "303-233-3719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7375 W 52nd Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800023748",
            "country_code": "US",
            "telephone_number": "720-739-5818",
            "fax_number": "720-550-6926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICKLE",
        "first_name": "CORY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cory@coloradoearcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "445 Union Blvd Ste 124",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802281239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.