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TURTLE CREEK SURGERY CENTER LLC
NPI 1699819979
Clinic/Center - Ambulatory Surgical in Tyler, TX

Active since February 19, 2007CLIA 45D1019749 · Waiver
805 TURTLE CREEK DR, TYLER, TX 75701(903) 592-1664(903) 592-6595 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Turtle Creek Surgery Center Llc NPPES

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

TURTLE CREEK SURGERY CENTER LLC (NPI 1699819979) is a healthcare organization registered as an ambulatory surgical in Tyler, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 25, 2027 and lists Makoto Saigusa, Owner, as its authorized official.

NPPES Registry Identity

NPI1699819979
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTURTLE CREEK SURGERY CENTER LLC
Location Address805 TURTLE CREEK DRTyler, TX 75701-1937
Mailing Address801 Turtle Creek DrTyler, TX 75701-1937 · (903) 592-1664 · Fax (903) 592-6595
Phone(903) 592-1664
Fax(903) 592-6595
Organization SubpartNo
Authorized OfficialMakoto SaigusaOwner · (903) 592-1664
Enumeration DateFebruary 19, 2007
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1699819979 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 TX · 008054
805 TURTLE CREEK DR, Tyler, TX 75701
Open in Google Maps ↗

Other Identifiers 1

Medicaid167240401TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D1019749

Turtle Creek Surgery Center, LLC · Tyler, TX
Active · expires Nov 25, 2027
CLIA Number45D1019749
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 26, 2025
Certificate Expiration DateNovember 25, 2027
Laboratory DirectorMakoto Saigusa
Laboratory Phone(903) 525-1028
Laboratory LocationTurtle Creek Surgery Center, LLC801 Turtle Creek Drive, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated D7210
This procedure involves removing a tooth that has fully emerged from the gums. It may require removal of surrounding bone or cutting the tooth into sections. A flap of gum tissue may be lifted if necessary. This is often done to address dental issues or prepare for further treatment.
238 services99 patients

Other Providers at the Same Location NPPES 7

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

DR. KOURT BEAU CHATELAIN DMD
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
DR. MAKOTO SAIGUSA D.M.D, M.D.
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
DR. RYAN M HINKLE D.D.S, MD
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
TYLER ORAL & FACIAL SURGERY INC.
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
MR. JAYSON J TERRES DDS, MD, FACS, FAACS
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
DR. DANIELLE ZOYA JAUL DDS
Dentist (Oral and Maxillofacial Surgery)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664
DR. JAMES BARRY HOLTON D.D.S., M.S.D.
Dentist (Oral and Maxillofacial Pathology)
805 TURTLE CREEK DR
TYLER, TX 75701
Smith County (903) 592-1664

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 Turtle Creek Surgery Center LLC's NPI number?

The NPI number for Turtle Creek Surgery Center LLC is 1699819979. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is Turtle Creek Surgery Center LLC located?

Turtle Creek Surgery Center LLC is located at 805 Turtle Creek Dr, Tyler, TX 75701. The listed phone number is (903) 592-1664.

What is Turtle Creek Surgery Center LLC's specialty?

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

Does Turtle Creek Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1019749) is associated with this NPI, valid through November 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Turtle Creek Surgery Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Turtle Creek 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 Turtle Creek Surgery Center LLC was last updated on October 3, 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.