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COLORADO PLASTIC AND RECONSTRUCTIVE SURGERY PLLC
NPI 1518639616
Plastic Surgery in Lone Tree, CO

Active since September 28, 2021CLIA 06D2305103 · Waiver
10535 PARK MEADOWS BLVD STE 350, LONE TREE, CO 80124(720) 853-5791 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2023, Sep 28, 2021 (2 updates tracked since 2021).

About Colorado Plastic And Reconstructive Surgery Pllc NPPES

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

COLORADO PLASTIC AND RECONSTRUCTIVE SURGERY PLLC (NPI 1518639616) is a healthcare organization registered as a plastic surgery in Lone Tree, Colorado and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through May 23, 2028, maintains a secondary practice location in Englewood, and lists Ryan Endress, President Physician, as its authorized official.

NPPES Registry Identity

NPI1518639616
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCOLORADO PLASTIC AND RECONSTRUCTIVE SURGERY PLLC
Location Address10535 PARK MEADOWS BLVD STE 350Lone Tree, CO 80124-8401
Mailing Address10535 Park Meadows Blvd Ste 350Lone Tree, CO 80124-8401 · (720) 853-5791
Phone(720) 853-5791
Organization SubpartNo
Authorized OfficialRyan EndressPresident Physician · (720) 853-5791
Enumeration DateSeptember 28, 2021
Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration
NPPES CertifiedNovember 10, 2023
✔ NPI 1518639616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X
10535 PARK MEADOWS BLVD STE 350, Lone Tree, CO 80124
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Secondary Practice Location 1

Location 1601 E Hampden Ave Ste 310Englewood, CO 80113-2769 · Phone (206) 384-5454 · Fax (303) 586-9393

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 06D2305103

Colorado Plastic And Reconstructive Surgery PLLC · Lone Tree, CO
Active · expires May 23, 2028
CLIA Number06D2305103
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorRyan Endress
Laboratory Phone(720) 853-5791
Laboratory LocationColorado Plastic And Reconstructive Surgery PLLC10535 Park Meadows Blvd, Suite 350, Lone Tree, CO 80124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. LILY DANIALI MD
Plastic Surgery
10535 PARK MEADOWS BLVD STE 350
LONE TREE, CO 80124
Douglas County (720) 853-5791
DR. BENSON PULIKKOTTIL MD
Plastic Surgery
10535 PARK MEADOWS BLVD STE 350
LONE TREE, CO 80124
Douglas County (720) 853-5791
DR. WOJCIECH HENRYK PRZYLECKI M.D.
Plastic Surgery
10535 PARK MEADOWS BLVD STE 350
LONE TREE, CO 80124
Douglas County (720) 853-5791
DR. RYAN DOUGLAS ENDRESS M.D.
Orthopaedic Surgery (Hand Surgery)
10535 PARK MEADOWS BLVD STE 350
LONE TREE, CO 80124
Douglas County (720) 853-5791

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 Colorado Plastic And Reconstructive Surgery PLLC's NPI number?

The NPI number for Colorado Plastic And Reconstructive Surgery PLLC is 1518639616. It was assigned to this organization in the NPPES registry on September 28, 2021.

Where is Colorado Plastic And Reconstructive Surgery PLLC located?

Colorado Plastic And Reconstructive Surgery PLLC is located at 10535 Park Meadows Blvd Ste 350, Lone Tree, CO 80124. The listed phone number is (720) 853-5791.

What is Colorado Plastic And Reconstructive Surgery PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Colorado Plastic And Reconstructive Surgery PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2305103) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colorado Plastic And Reconstructive Surgery PLLC was last updated on November 10, 2023. 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.