Individual provider Active NPI

Glen Christian Gardner, M.S., CCC-A

  • Audiologist
  • Littleton, CO
National Provider Identifier
1982762399
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
134 Issued in CO
Practice address
9200 W Cross Dr
#250
Littleton, CO 80123-2239
Phone
(303) 904-3277
Fax
(303) 904-7380
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 134 CO Primary
Audiologist 231H00000X 407 CO

Addresses

Primary practice location

9200 W Cross Dr
#250
Littleton, CO 80123-2239

Mailing address

9200 W Cross Dr
#250
Littleton, CO 80123-2239
Phone (303) 904-3277

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
134COMDAddiction (Substance Use Disorder) Counselor
407COMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Hearing and Balance Clinics LLC Audiologist PastSince Mar 15, 2005 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982762399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR",
            "address_2": "#250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232239",
            "telephone_number": "303-904-3277",
            "fax_number": "303-904-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W CROSS DR",
            "address_2": "#250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801232239",
            "telephone_number": "303-904-3277",
            "fax_number": "303-904-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "GLEN",
        "middle_name": "CHRISTIAN",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "134",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.