Active NPI
Knudsen, Inc.
- Audiologist-Hearing Aid Fitter
- Fort Collins, CO
National Provider Identifier
1710021290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- NO. 42
- Legal business name
- KNUDSEN, INC.
- Doing business as
- Independent Audiology
- Practice address
- 1014 Centre Ave
Fort Collins, CO 80526-1849 - Phone
- (970) 817-1965
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Eugene Knudsen, AU.D.
- Title
- Owner/Manager
- Phone
- (970) 817-1965
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | NO. 42 | AK | Primary |
Addresses
Primary practice location
1014 Centre Ave
Fort Collins, CO 80526-1849
Mailing address
1020 Wabash St
Unit 5-104
Fort Collins, CO 80526-3191
Phone (970) 817-1965
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 643 | Other | CO | COLORADO AUDIOLOGY LICENSE |
| 23002456A | Other | IN | INDIANA AUDIOLOGY LICENSE |
| 42 | Other | AK | ALASKA AUDIOLOGY LICENSE |
Other names 1
- Independent Audiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
313 W Drake Rd
Fort Collins, CO 80526
Phone (970) 225-5027
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Wellington, CO
- NPI 1386650216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347840000000",
"number": "1710021290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 WABASH ST",
"address_2": "UNIT 5-104",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805263191",
"telephone_number": "970-817-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 CENTRE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261849",
"telephone_number": "970-817-1965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNUDSEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2012-09-17",
"status": "A",
"authorized_official_last_name": "KNUDSEN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "970-817-1965",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AK",
"license": "NO. 42",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO AUDIOLOGY LICENSE",
"identifier": "643",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA AUDIOLOGY LICENSE",
"identifier": "23002456A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALASKA AUDIOLOGY LICENSE",
"identifier": "42",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Independent Audiology",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.