Active NPI
Clear Creek Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Wheat Ridge, CO
National Provider Identifier
1063598597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1068
- Legal business name
- CLEAR CREEK SURGERY CENTER LLC
- Practice address
- 7809 W 38TH Ave
Wheat Ridge, CO 80033-6183 - Phone
- (303) 422-5555
- Fax
- (303) 463-0929
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David McKnight
- Title
- VP/Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1068 | CO | Primary |
Addresses
Primary practice location
7809 W 38TH Ave
Wheat Ridge, CO 80033-6183
Mailing address
7809 W 38TH Ave
Wheat Ridge, CO 80033-6183
Phone (303) 422-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66076340 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050408000376 | CO | Part B Supplier - Ambulatory Surgical Center | 5698712917 | Practice locations: Wheat Ridge, CO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Clear Creek Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D1034013 | Clear Creek Surgery Center LLC | Certificate of waiver | Jan 6, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Networks
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Denver, CO
- NPI 1477660785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1063598597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7809 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336183",
"telephone_number": "303-422-5555",
"fax_number": "303-463-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7809 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336183",
"telephone_number": "303-422-5555",
"fax_number": "303-463-0929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR CREEK SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "972-789-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CO",
"license": "1068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66076340",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.