Provider Demographics
NPI:1164660247
Name:IVES, DAVID A II (MA CCC-A)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:IVES
Suffix:II
Gender:M
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7586 W JEWELL AVE STE 2-201
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6890
Mailing Address - Country:US
Mailing Address - Phone:303-716-1177
Mailing Address - Fax:303-716-0253
Practice Address - Street 1:7586 W JEWELL AVE STE 2-201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6890
Practice Address - Country:US
Practice Address - Phone:303-716-1177
Practice Address - Fax:303-716-0253
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51724231H00000X, 237600000X
COAUD-683231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist