Organization Active NPI

Dentist in Centennial LLC

  • General Practice Dentistry
  • Centennial, CO
National Provider Identifier
1265237424
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTIST IN CENTENNIAL LLC
Practice address
20269 E Smoky Hill Rd Unit H
Centennial, CO 80015-3112
Phone
(803) 830-6881
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Sunil Reddy Eamani
Title
Manager
Phone
(803) 830-6881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

20269 E Smoky Hill Rd Unit H
Centennial, CO 80015-3112

Mailing address

20269 E Smoky Hill Rd Unit H
Centennial, CO 80015-3112
Phone (803) 830-6881

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1265237424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20269 E SMOKY HILL RD UNIT H",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153112",
            "telephone_number": "803-830-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20269 E SMOKY HILL RD UNIT H",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153112",
            "telephone_number": "803-830-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN CENTENNIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "EAMANI",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-830-6881"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.