Skin and Cancer Institute Travis PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN AND CANCER INSTITUTE TRAVIS PA

Practice address

401 Ranch Road 620 S
Lakeway, TX 78734-5302

Phone

(661) 388-5240

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Daniel Taheri, MD

Title

Owner

Phone

(661) 388-5240

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanner Cavanaugh

  • Medical Physician Assistant
  • Modesto, CA
  • NPI 1811394976

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1841864535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16297",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RANCH ROAD 620 S",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345302",
            "telephone_number": "661-388-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN AND CANCER INSTITUTE TRAVIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-388-5240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Collins Shope, LPC
• Seema Sidwani-Chawla, D.O
• Anita Raj Singal, MD
• Sumita Chakraborti Singh-Baker, D.D.S.
• Alison Crawford Sinsky, PT
• Sleep Apnea Associates of Texas, PLLC
• Brett E Smith, D.P.M.
• Elizabeth Marie Smith, FNP-C
• Laurence Ryan Smith, D.C.
• Teresa Lambert Smith, DDS

• Dermatology Physician in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.