NPIMap

Organization Active NPI

Michael C. Tenby, M.D., LTD

Doing business as Centennial Pediatrics

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1578599890
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10483 Issued in NV
Legal business name
MICHAEL C. TENBY, M.D., LTD
Doing business as
Centennial Pediatrics
Practice address
6850 N. Durango Dr.
Suite #306
Las Vegas, NV 89149
Phone
(702) 897-6000
Fax
(702) 897-6062
NPI assigned
Jun 26, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Michael C Tenby, M.D.NPI 1730119827
Title
President
Phone
(702) 897-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 10483 NV Primary

Addresses

Primary practice location

6850 N. Durango Dr.
Suite #306
Las Vegas, NV 89149

Mailing address

6850 North Durango Drive
Suite 306
Las Vegas, NV 89149
Phone (702) 897-6000

Other names 1

  • Centennial Pediatrics Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1578599890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 NORTH DURANGO DRIVE",
            "address_2": "SUITE 306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-897-6000",
            "fax_number": "702-897-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N. DURANGO DR.",
            "address_2": "SUITE #306",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-897-6000",
            "fax_number": "702-897-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. TENBY, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "TENBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-897-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "10483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.