Individual provider Active NPI

Luis Enrique Centeno III, DDS

  • General Practice Dentistry
  • Pembroke Pines, FL
National Provider Identifier
1407774979
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN32198 Issued in FL
Practice address
17868 NW 2ND St
Pembroke Pines, FL 33029-2806
Phone
(954) 538-0047
NPI assigned
Jul 9, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN32198 FL Primary

Addresses

Primary practice location

17868 NW 2ND St
Pembroke Pines, FL 33029-2806

Mailing address

17868 NW 2ND St
Pembroke Pines, FL 33029-2806
Phone (954) 538-0047

Other practice location 1

4240 W 16th Ave
Hialeah, FL 33012-7624
Phone (305) 823-1882

Other practice location 2

1 SW 129th Ave Ste 406
Pembroke Pines, FL 33027-1718
Phone (954) 435-9559

Other names 1

  • Dr. Luis Enrique Centeno Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1407774979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17868 NW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292806",
            "telephone_number": "954-538-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17868 NW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292806",
            "telephone_number": "954-538-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4240 W 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127624",
            "country_code": "US",
            "telephone_number": "305-823-1882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 SW 129th Ave Ste 406",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330271718",
            "country_code": "US",
            "telephone_number": "954-435-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN32198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "CENTENO",
            "middle_name": "ENRIQUE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.