NPIMap

Organization Active NPI

Northwest Regional ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Westminster, CO
National Provider Identifier
1851399646
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
16P689 Issued in CO
Legal business name
NORTHWEST REGIONAL ASC, LLC
Practice address
10170 Church Ranch Way
Ste 110
Westminster, CO 80021-6058
Phone
(303) 328-3400
Fax
(303) 328-3401
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Jenetha D Moran
Title
Officer/Authorized Official
Phone
(972) 763-3893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 16P689 CO Primary

Addresses

Primary practice location

10170 Church Ranch Way
Ste 110
Westminster, CO 80021-6058

Mailing address

10170 Church Ranch Way
Ste 110
Westminster, CO 80021-6058
Phone (303) 328-3400

Other identifiers 2

IdentifierTypeStateIssuer
P00228297OtherCORAILROAD MEDICARE
72636076MedicaidCO

Other names 1

  • Northwest Regional Ambulatory Surgery Center Other name

National Provider Directory

National Provider Directory

Member of 3

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

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1851399646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 CHURCH RANCH WAY",
            "address_2": "STE 110",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216058",
            "telephone_number": "303-328-3400",
            "fax_number": "303-328-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 CHURCH RANCH WAY",
            "address_2": "STE 110",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216058",
            "telephone_number": "303-328-3400",
            "fax_number": "303-328-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST REGIONAL ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "16P689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00228297",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72636076",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Regional Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northwest Regional Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.