Organization Active NPI

DTC Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Englewood, CO
National Provider Identifier
1174010011
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Feb 17, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 06C0001172
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2041114DTC Surgery Center, LLC135 Inverness Drive East, Englewood, CO 80112Certificate of waiverMay 15, 2028
06D2265653DTC Surgery Center, LLC135 Inverness Drive East, Centennial, CO 80112Certificate of waiverJul 29, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.