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CENTENNIAL PEDIATRICS PC NPI 1972773612


NPI Information

NPI: 1972773612
Provider Name: CENTENNIAL PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 06D1025276

Address:
15464 E. ORCHARD ROAD
CENTENNIAL, CO
ZIP 80016
Phone: (303) 680-5437
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CENTENNIAL PEDIATRICS, PC is a pediatrics in Centennial, CO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CENTENNIAL PEDIATRICS, PC NPI is 1972773612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15464 E. ORCHARD ROAD
CENTENNIAL, CO
ZIP 80016
Phone: (303) 680-5437

The provider's authorized official is Michelle Kuntz Stanford .
The authorized official title is Physician and has the following contact phone number (303) 680-5437.

The CLIA number assigned to this NPI record is 06D1025276 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/10/2008 and was last updated on 3/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics38052COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
129303559MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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