Individual provider Active NPI

Noel C. Dice, AUD

  • Audiologist
  • Greeley, CO
National Provider Identifier
1689867954
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0000505 Issued in CO
Practice address
5626 19TH St Ste B
Greeley, CO 80634-2987
Phone
(970) 301-4184
Fax
(970) 617-1940
NPI assigned
Aug 21, 2007
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0000505 CO Primary
Audiologist 231H00000X 200341 CO

Addresses

Primary practice location

5626 19TH St Ste B
Greeley, CO 80634-2987

Mailing address

5626 19TH St Ste B
Greeley, CO 80634-2987
Phone (970) 301-4184

Other identifiers 2

IdentifierTypeStateIssuer
30652570MedicaidCO
P00944867OtherCOMEDICARE RAILROAD CARRIER PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000060 CO Practitioner - Qualified Audiologist 0840383733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5626 19TH St
Suite B
Greeley, CO 80634-2987
Phone (970) 301-4184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200341COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Ears Hearing Audiologist CurrentSince Oct 22, 2021 Accepting new patients

Locations

5626 19th St
Ste B
Greeley, CO 80634
Phone (970) 301-4184

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1689867954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 19TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342987",
            "telephone_number": "970-301-4184",
            "fax_number": "970-617-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 19TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342987",
            "telephone_number": "970-301-4184",
            "fax_number": "970-617-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICE",
        "first_name": "NOEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000505",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "200341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30652570",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER PTAN",
            "identifier": "P00944867",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.