Individual provider Active NPI

Ronald W Centric, D.O.

  • Psychiatry Physician
  • Carson City, NV
National Provider Identifier
1396845921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
574 Issued in NV
Practice address
343 Fairview Dr
Suite 104
Carson City, NV 89701-5303
Phone
(775) 887-0703
NPI assigned
Sep 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 574 NV Primary

Addresses

Primary practice location

343 Fairview Dr
Suite 104
Carson City, NV 89701-5303

Mailing address

343 Fairview Dr
Suite 104
Carson City, NV 89701-5303
Phone (775) 887-0703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000105 NV Practitioner - Psychiatry 2264599323 Reassigns benefits to 2 organizations
Practice locations: Carson City, NV

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

343 Fairview Dr
Carson City, NV 89701-5389
Phone (775) 887-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
574NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Sep 1, 2008 Accepting new patients
Serenity Counseling LLC CurrentSince Apr 15, 2019 Accepting new patients
State of Nevada CurrentSince Sep 1, 2008 Accepting new patients
Sean L. Lehmann, LLC Past Accepting new patients
Orthopro of Carson City, Inc. Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

1901 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 486-0000

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 815-1554

Interoperability endpoints

  • Direct secure messaging: rcentric@plthc.directbygreenway.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396845921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FAIRVIEW DR",
            "address_2": "SUITE 104",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015303",
            "telephone_number": "775-887-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FAIRVIEW DR",
            "address_2": "SUITE 104",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015303",
            "telephone_number": "775-887-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTRIC",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.