Active NPI
Dastgeer Surgical Associates
- Surgical Assistant
- Lafayette, CO
National Provider Identifier
1720569569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 83266
- Legal business name
- DASTGEER SURGICAL ASSOCIATES
- Practice address
- 200 Exempla Cir
Lafayette, CO 80026-3370 - Phone
- (720) 300-1208
- Fax
- (303) 410-6903
- NPI assigned
- Aug 28, 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
- Ahmad Walid Dastgeer, CSFA
- Title
- Certified Surgical Assistant
- Phone
- (720) 300-1208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 83266 | CO | Primary |
Addresses
Primary practice location
200 Exempla Cir
Lafayette, CO 80026-3370
Mailing address
PO Box 41
Broomfield, CO 80038-0041
Phone (720) 300-1208
Other names 1
- DSA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Broomfield, CO
- NPI 1255490181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535414400000",
"number": "1720569569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800380041",
"telephone_number": "720-300-1208",
"fax_number": "303-410-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EXEMPLA CIR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263370",
"telephone_number": "720-300-1208",
"fax_number": "303-410-6903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DASTGEER SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A",
"authorized_official_last_name": "DASTGEER",
"authorized_official_first_name": "AHMAD",
"authorized_official_middle_name": "WALID",
"authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
"authorized_official_telephone_number": "720-300-1208",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "83266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DSA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.