Dry Surg LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

SA#1058 Issued in CO

Legal business name

DRY SURG LLC

Practice address

3715 W 95TH PL
Westminster, CO 80031-2603

Phone

(720) 540-7155

Fax

(720) 540-7155

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Roben Datkhaev

Title

President

Phone

(720) 540-7155

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1730570946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 W 95TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 W 95TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312603",
            "telephone_number": "720-540-7155",
            "fax_number": "720-540-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY SURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "DATKHAEV",
        "authorized_official_first_name": "ROBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-540-7155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": "SA#1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURG ASSIST",
            "identifier": "SA#1058 CO",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delores A Drake
• Kim Renea Draughon, MA
• Jeremy Drechsler, D.O.
• Samantha Dreher, PA-C
• Mitchell Dreska
• Makenzie Duckworth, MS, LAT, ATC
• Stephanie Kirsten Dueger, MA
• Hugo Duenas, LCSW
• Kimberly Marie Dufraux, MS, DNP, NP-C, RN
• Andrea M Dugan, PHARMD

• General Acute Care Hospital in Westminster, CO
• Providers in Westminster, CO by specialty
• General Acute Care Hospital in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.