Crown Point Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0039 Issued in CO

Legal business name

CROWN POINT SURGERY CENTER, LLC

Doing business as

Crown Point Surgery Center

Practice address

9397 Crown Crest Blvd
Ste 110
Parker, CO 80138-8575

Phone

(720) 974-6499

Fax

(720) 974-6498

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Peter Blach

Title

Officer/Authorized Official

Phone

(713) 343-0832

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crown Point Surgery Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Crown Point Surgery CenterCCN 06C0001085

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Crown Point Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Parker, CO
  • NPI 1184690653
  NPD tax ID

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Portercare Adventist Health System

  • Sports Medicine (Internal Medicine) Physician
  • Lone Tree, CO
  • NPI 1982213419

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1649310111",
    "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",
            "address_2": "STE 110",
            "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, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "BLACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-343-0832"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99636247",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crown Point Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crown Point Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Croft, LPC
• Crosby Counseling LLC
• Amber Rachelle Crowder, MD
• Latara Faith Crowder, BA
• Crown Point Surgery Center, L.L.C.
• Crowning Touch Therapetics
• Rachel Leigh Crumbley
• Jonathan Michael Crump, PA
• Molly Elizabeth Crump, LLMSW
• Joanna Cummings, MS, RD-AP, CNSC CSSD

• Ambulatory Surgical Clinic/Center in Parker, CO
• Providers in Parker, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.