Organization Active NPI

Dyr Surgassist Inc

  • Surgery Physician
  • Westminster, CO
National Provider Identifier
1093757627
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DYR SURGASSIST INC
Practice address
3715 W 95TH PL
Westminster, CO 80031-2603
Phone
(720) 540-7155
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Roben Y Datkhaev, SA
Title
President
Phone
(720) 540-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3715 W 95TH PL
Westminster, CO 80031-2603

Mailing address

3464 S Willow St
Suite 154
Denver, CO 80231-4531
Phone (303) 755-2900

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
Ste 154
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1093757627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 154",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900",
            "fax_number": "303-755-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 W 95TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312603",
            "telephone_number": "720-540-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYR SURGASSIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "DATKHAEV",
        "authorized_official_first_name": "ROBEN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-540-7155",
        "authorized_official_credential": "SA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.