Organization Active NPI

Midtown Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Sacramento, CA
National Provider Identifier
1043533300
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDTOWN SURGERY CENTER, INC.
Practice address
920 29TH St
Sacramento, CA 95816-4306
Phone
(916) 476-3972
Fax
(916) 476-3974
NPI assigned
Mar 1, 2010
Last updated
Mar 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Dr. David J. Crippen, D.D.S.NPI 1609947209
Title
Chief Executive Officer
Phone
(916) 476-3972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

920 29TH St
Sacramento, CA 95816-4306

Mailing address

920 29TH St
Sacramento, CA 95816-4306
Phone (916) 476-3972

National Provider Directory

National Provider Directory

Locations

920 29th St
Sacramento, CA 95816
Phone (916) 476-3418

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1043533300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 29TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164306",
            "telephone_number": "916-476-3972",
            "fax_number": "916-476-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 29TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164306",
            "telephone_number": "916-476-3972",
            "fax_number": "916-476-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "CRIPPEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "916-476-3972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.