Lake Travis Oral & Maxillofacial Surgery, PLLC.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

21279 Issued in TX

Legal business name

LAKE TRAVIS ORAL & MAXILLOFACIAL SURGERY, PLLC.

Practice address

1921 Lohmans Crossing
Suite 208
Lakeway, TX 78734-5282

Phone

(512) 261-6900

Fax

(512) 532-0303

NPI assigned

May 19, 2011

Last updated

May 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A. Alford, DDSNPI 1699909978

Title

President

Phone

(512) 261-6900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Andrew Alford, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakeway, TX
  • NPI 1699909978
  Authorized official Same address or phone
• Raj Kamlesh Thaker, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1699185041

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1225321565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 LOHMANS CROSSING",
            "address_2": "SUITE 208",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345282",
            "telephone_number": "512-261-6900",
            "fax_number": "512-532-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 LOHMANS CROSSING",
            "address_2": "SUITE 208",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345282",
            "telephone_number": "512-261-6900",
            "fax_number": "512-532-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TRAVIS ORAL & MAXILLOFACIAL SURGERY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-261-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "21279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Travis Chiropractic (620 Chiropractic Center)
• Lake Travis Chiropractic, PLLC
• Lake Travis Counseling Connection PLLC
• Lake Travis Eye and Laser Center, PA
• Lake Travis Family & Cosmetic Dentistry PLLC (Lake Travis Dentistry)
• Lake Travis Pediatric Dentistry
• Lake Travis Surgery Center LLC
• Lakeway Ambulatory Surgery Center, LLC (Lakeway Surgery Center)
• Lakeway Dental Solutions. LLC
• Lakeway Dermatology and Skin Cancer (Mary Ana Cunningham)

• Oral & Maxillofacial Surgery (D.M.D.) in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.