Active NPI
DTC Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Englewood, CO
National Provider Identifier
1174010011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- DTC SURGERY CENTER, LLC
- Practice address
- 135 Inverness Dr E
Englewood, CO 80112-5115 - Phone
- (303) 220-0810
- NPI assigned
- Apr 17, 2018
- 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
- Ms. Lisa Malinak
- Title
- Chief Administrative Officer
- Phone
- (032) 200-8193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
135 Inverness Dr E
Englewood, CO 80112-5115
Mailing address
4380 S Syracuse St Ste 120
Denver, CO 80237-3094
Other names 1
- OCC Surgery Center at Inverness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180911000610 | CO | Part B Supplier - Ambulatory Surgical Center | 2062762198 | Practice locations: Englewood, CO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- DTC 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 |
|---|---|---|---|
| 06D2041114 | DTC Surgery Center, LLC | Certificate of waiver | May 15, 2028 |
| 06D2265653 | DTC Surgery Center, LLC | Certificate of waiver | Jul 29, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645056000000",
"number": "1174010011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4380 S SYRACUSE ST STE 120",
"city": "DENVER",
"state": "CO",
"postal_code": "802373094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 INVERNESS DR E",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125115",
"telephone_number": "303-220-0810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DTC SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "MALINAK",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "032-200-8193",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OCC Surgery Center at Inverness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.