Lake Travis Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAKE TRAVIS SURGERY CENTER LLC

Practice address

6 Lakeway Centre Court
Lakeway, TX 78734

Phone

(512) 769-7964

NPI assigned

Sep 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Orr, DMD, JDNPI 1285869321

Title

Owner

Phone

(512) 769-7964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Ambulatory surgical center certification: CCN 45C0451297

Legal name

LAKE TRAVIS SURGERY CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 18, 2024

Last certification

Oct 30, 2024

Facility address

6 Lakeway Centre CT
Lakeway, TX 78734

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Timothy M Orr, DMD

  • Dental Anesthesiology
  • Lakeway, TX
  • NPI 1285869321
  NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1952180002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811213",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LAKEWAY CENTRE COURT",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-769-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TRAVIS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-769-7964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, JD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Travis Counseling Connection PLLC
• Lake Travis Eye and Laser Center, PA
• Lake Travis Family & Cosmetic Dentistry PLLC
• Lake Travis Oral & Maxillofacial Surgery, PLLC.
• Lake Travis Pediatric Dentistry
• Lakeway Ambulatory Surgery Center, LLC
• Lakeway Dental Solutions. LLC
• Lakeway Dermatology and Skin Cancer
• Lakeway Era Acquistion Partners LLC
• Lakeway Era Acquistion Partners LLC

• Ambulatory Surgical Clinic/Center in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.