TWO TWELVE SURGERY CENTER
NPI 1083902423
Clinic/Center - Ambulatory Surgical in Chaska, MN

Active since July 19, 2011CLIA 24D2027884 · Waiver
111 HUNDERTMARK RD, SUITE 340, CHASKA, MN 55318(952) 456-7900(952) 456-7901 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Two Twelve Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TWO TWELVE SURGERY CENTER (NPI 1083902423) is a healthcare organization registered as an ambulatory surgical in Chaska, Minnesota and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Aaron Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083902423
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHASKA PLAZA SURGERY CENTER, LLC
Location Address111 HUNDERTMARK RD, SUITE 340Chaska, MN 55318-4551
Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 456-7900 · Fax (952) 456-7901
Fax(952) 456-7901
Organization SubpartNo
Authorized OfficialAaron JohnsonCeo · (952) 456-7300
Enumeration DateJuly 19, 2011
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1083902423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in MN · PENDING
111 HUNDERTMARK RD, Chaska, MN 55318

Other Names 1

Doing Business AsTwo Twelve Surgery Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2027884

Two Twelve Surgery Center · Chaska, MN
Active · expires Aug 3, 2027
CLIA Number24D2027884
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorPeter Sanders
Laboratory Phone(952) 456-7900
Laboratory LocationTwo Twelve Surgery Center111 Hundertmark Road, Suite 340, Chaska, MN 55318
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
178 services97 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
150 services43 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
132 services77 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
127 services57 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
103 services75 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
84 services60 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
111 HUNDERTMARK RD
CHASKA, MN 55318
Nurse Practitioner (Pediatrics)
111 HUNDERTMARK RD, #420
CHASKA, MN 55318
Clinic/Center (Dental)
111 HUNDERTMARK RD, SUITE 304N
CHASKA, MN 55318
Pediatrics
111 HUNDERTMARK RD, #420
CHASKA, MN 55318
Nurse Practitioner (Family)
111 HUNDERTMARK RD
CHASKA, MN 55318
Family Medicine
111 HUNDERTMARK RD, TWO TWELVE MEDICAL CENTER, STE. 220
CHASKA, MN 55318
Physician Assistant
111 HUNDERTMARK RD
CHASKA, MN 55318
Pharmacy (Community/Retail Pharmacy)
111 HUNDERTMARK RD, SUITE 100
CHASKA, MN 55318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chaska Plaza Surgery Center, LLC's NPI number?

The NPI number for Chaska Plaza Surgery Center, LLC is 1083902423. It was assigned to this organization in the NPPES registry on July 19, 2011. The provider is doing business as Two Twelve Surgery Center.

Where is Chaska Plaza Surgery Center, LLC located?

Chaska Plaza Surgery Center, LLC is located at 111 Hundertmark Rd Suite 340, Chaska, MN 55318. The listed phone number is (952) 456-7900.

What is Chaska Plaza Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Chaska Plaza Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2027884) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chaska Plaza Surgery Center, LLC accept?

Health plans from HealthPartners list Chaska Plaza Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chaska Plaza Surgery Center, LLC was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.