CENTENNIAL PEDIATRICS NPI 1508243395

NPI Information

NPI: 1508243395
Provider Name: CENTENNIAL PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 29D1070766

Address:
6850 N DURANGO DR STE 306
LAS VEGAS, NV
ZIP 89149
Phone: (702) 897-6000
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CENTENNIAL PEDIATRICS is a primary care clinic center in Las Vegas, NV. CENTENNIAL PEDIATRICS NPI is 1508243395. The provider is registered as an organization entity type.

The provider's business location address is:

6850 N DURANGO DR STE 306
LAS VEGAS, NV
ZIP 89149-597
Phone: (702) 897-6000

The provider's authorized official is Jennifer Tenby .
The authorized official title is Office Manager and has the following contact phone number (702) 396-6277.

The CLIA number assigned to this NPI record is 29D1070766 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 4/30/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	APRN001899	NEVADA	Yes

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

NPI Synchronization or Removal

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