Organization Active NPI

Crown Point Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Parker, CO
National Provider Identifier
1184690653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0566 Issued in CO
Legal business name
CROWN POINT SURGERY CENTER, L.L.C.
Practice address
9397 Crown Crest Blvd
Parker, CO 80138-8575
Phone
(720) 974-6499
Fax
(720) 974-6498
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter J McNally
Title
Administrator
Phone
(303) 278-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0566 CO Primary

Addresses

Primary practice location

9397 Crown Crest Blvd
Parker, CO 80138-8575

Mailing address

9397 Crown Crest Blvd
Ste 110
Parker, CO 80138-8575
Phone (720) 974-6499

Other identifiers 2

IdentifierTypeStateIssuer
669558OtherCOANTHEM BLUE CROSS
99636247MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184690653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD",
            "address_2": "STE 110",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388575",
            "telephone_number": "720-974-6499",
            "fax_number": "720-974-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 CROWN CREST BLVD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388575",
            "telephone_number": "720-974-6499",
            "fax_number": "720-974-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN POINT SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNALLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-278-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "669558",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99636247",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.