Individual provider Active NPI

Daniel Ostergren, AUD

  • Audiologist
  • Fort Collins, CO
National Provider Identifier
1700144276
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0496473 Issued in CO
Practice address
2121 E Harmony Rd Unit 350B
Fort Collins, CO 80528-3404
Phone
(970) 484-6373
Fax
(970) 484-0382
NPI assigned
May 2, 2012
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0496473 CO Primary

Addresses

Primary practice location

2121 E Harmony Rd Unit 350B
Fort Collins, CO 80528-3404

Mailing address

2121 E. Harmony Rd.
Suite 350B
Fort Collins, CO 80528-3404
Phone (970) 484-6373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000854 CO Practitioner - Qualified Audiologist 6800042128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Group, LLCGroup PAC ID 9830526995, 2 clinicians

Practice addresses (Care Compare)

2121 E Harmony Rd
Unit 350B
Fort Collins, CO 80528-3404
Phone (970) 484-6373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0496473COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Group LLC Audiologist CurrentSince Jan 13, 2020 Accepting new patients

Locations

2121 E Harmony Rd
Unit 350
Fort Collins, CO 80528
Phone (970) 221-2370

2121 E Harmony Rd
Unit 350B
Fort Collins, CO 80528
Phone (970) 484-2440

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1700144276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E. HARMONY RD.",
            "address_2": "SUITE 350B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-484-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 350B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283404",
            "telephone_number": "970-484-6373",
            "fax_number": "970-484-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERGREN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "0496473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.