Functional Neurosurgical Ambulatory Surgery Center,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CENTER,LLC

Practice address

11 W Dry Creek Cir
Suite 120
Littleton, CO 80120-8077

Phone

(303) 955-5555

Fax

(720) 463-1090

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

Dr. David Vansickle, MD

Title

Owner

Phone

(720) 339-3283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Member of 1

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

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1891186987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CIR",
            "address_2": "SUITE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208077",
            "telephone_number": "303-955-5555",
            "fax_number": "720-463-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CIR",
            "address_2": "SUITE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208077",
            "telephone_number": "303-955-5555",
            "fax_number": "720-463-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL NEUROSURGICAL AMBULATORY SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "VANSICKLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-339-3283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Fuentes Felty, NP
• Kathy J Fuerst
• Erin Kathleen Fuller
• Louise Elizabeth Fullerton, M.D.
• Functional & Metabolic Medicine of Colorado
• Functional Performance Medical Supply, LLC
• Functional Performance Physical Therapy Center
• Functional Performance Physical Therapy Center, PLLC
• Functional Performance PT Center
• Laura A Funk, PT, DPT

• Ambulatory Surgical Clinic/Center in Littleton, CO
• Providers in Littleton, 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 Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.