Active NPI
Jared Gifford Teter, AU.D., F-AAA
- Audiologist
- Colorado Springs, CO
National Provider Identifier
1912021312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 2234 N Wahsatch Ave
Colorado Springs, CO 80907-6940 - Phone
- (719) 632-2376
- Fax
- (719) 633-2327
- NPI assigned
- Mar 19, 2007
- Last updated
- Jan 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
2234 N Wahsatch Ave
Colorado Springs, CO 80907-6940
Mailing address
18 Hawkes TRL
Webster, NY 14580-4211
Phone (585) 672-5761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11454844 | Other | NY | CAQH PROVIDER ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001959 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLM USA LLC | Audiologist | Past | Accepting new patients |
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1912021312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 HAWKES TRL",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145804211",
"telephone_number": "585-672-5761",
"fax_number": "585-244-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2234 N WAHSATCH AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076940",
"telephone_number": "719-632-2376",
"fax_number": "719-633-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETER",
"first_name": "JARED",
"middle_name": "GIFFORD",
"name_prefix": "Mr.",
"credential": "AU.D., F-AAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID NUMBER",
"identifier": "11454844",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.