Centennial Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APRN001899 Issued in NV

Legal business name

CENTENNIAL PEDIATRICS

Practice address

6850 N Durango Dr Ste 306
Las Vegas, NV 89149-4597

Phone

(702) 897-6000

NPI assigned

Apr 30, 2015

Last updated

Apr 30, 2015By 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

Jennifer Tenby

Title

Office Manager

Phone

(702) 396-6277

Specialties & licenses 1

Addresses

Tax ID family

Centennial Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael C. Tenby, M.D., LTD

  dba Centennial Pediatrics

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1578599890
  NPD tax ID

Locations

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1508243395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494597",
            "telephone_number": "702-897-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494597",
            "telephone_number": "702-897-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "TENBY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-396-6277"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "APRN001899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centennial LV LLC (Centennial Dialysis Center)
• Centennial Medical Group LLP
• Centennial Medical Group LLP
• Centennial Medical Imaging, LLC
• Centennial Pain Relief Network, LLC (Centennial Spine and Pain Center)
• Centennial Psychological Services
• Centennial Specialty Surgery Center Inc
• Centennial Surgical Center, LLC
• Centennial Wellness Center
• Jenny Ana Centeno D Roux, APRN-CNP

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.