Organization Active NPI

Knudsen, Inc.

  • Audiologist-Hearing Aid Fitter
  • Fort Collins, CO
National Provider Identifier
1710021290
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
NO. 42 Issued in AK
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

Updated by the provider on Sep 17, 2012

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.NPI 1386650216
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)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
643OtherCOCOLORADO AUDIOLOGY LICENSE
23002456AOtherININDIANA AUDIOLOGY LICENSE
42OtherAKALASKA AUDIOLOGY LICENSE

Other names 1

  • Independent Audiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130306000560 CO Part B Supplier - Clinic/Group Practice 6800041351 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO; Wellington, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.