Centennial Medical Group Co LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CENTENNIAL MEDICAL GROUP CO LLC

Practice address

245 S Parkside Dr
Colorado Springs, CO 80910-3131

Phone

(702) 839-1203

Fax

(702) 839-1301

NPI assigned

Jan 22, 2026

Last updated

Jan 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Lanzkowksy, MD

Title

MD/Owner

Phone

(702) 839-1203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Matthias Mouch III, M.D.

  • Interventional Pain Medicine Physician
  • San Marcos, TX
  • NPI 1851740583

  CO

  Medicare reassignment

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1043169287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305286",
            "telephone_number": "702-839-1203",
            "fax_number": "702-839-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S PARKSIDE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103131",
            "telephone_number": "702-839-1203",
            "fax_number": "702-839-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL MEDICAL GROUP CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "LANZKOWKSY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "702-839-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Ceja
• Jessica Gillis Celenza, OTR/L
• Mailin Sue Celestine, NP-C
• Paige Cenicola
• Centennial Community Care, LLC
• Centennial State Lab, LLC
• Bianca Centeno, RBT
• Jonathan Centeno
• Maranda L Centeno, MSOT
• Center at Centennial, LLC

• Interventional Pain Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Interventional Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.