Organization Active NPI

Denton Surgery Center LLC

Doing business as Texas Health Surgery Center Denton

  • Ambulatory Surgical Clinic/Center
  • Denton, TX
National Provider Identifier
1720020472
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
H1823 Issued in TX
Legal business name
DENTON SURGERY CENTER LLC
Doing business as
Texas Health Surgery Center Denton
Practice address
2515 Scripture St
Denton, TX 76201-2311
Phone
(940) 383-7100
Fax
(940) 383-7110
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Ms. Dawn Pollard
Title
Chief Administrative Officer
Phone
(940) 383-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X H1823 TX Primary

Addresses

Primary practice location

2515 Scripture St
Denton, TX 76201-2311

Mailing address

2515 Scripture St
Denton, TX 76201-2311
Phone (940) 383-7100

Other identifiers 2

IdentifierTypeStateIssuer
1848657-01MedicaidTX
184865701MedicaidTX

Other names 1

  • Texas Health Surgery Center Denton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060814000144 TX Part B Supplier - Ambulatory Surgical Center 0840293882 Practice locations: Denton, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Denton Surgery Center LLC Dba Texas Health Surgery Center DentonCCN 45C0001420
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
45D1047508Denton Surgery Center, LLC Dba2515 Scripture St, Denton, TX 76201Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Member of 2

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

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1720020472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 SCRIPTURE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012311",
            "telephone_number": "940-383-7100",
            "fax_number": "940-383-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 SCRIPTURE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012311",
            "telephone_number": "940-383-7100",
            "fax_number": "940-383-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "940-383-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "H1823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1848657-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184865701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Surgery Center Denton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Health Surgery Center Denton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.