Organization Active NPI

Luis Lopez-Benitez MD LTD

Doing business as Centennial Ob/Gyn

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1649411885
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12325 Issued in NV
Legal business name
LUIS LOPEZ-BENITEZ MD LTD
Doing business as
Centennial Ob/Gyn
Practice address
6850 N Durango Dr
Suite 420
Las Vegas, NV 89149-4595
Phone
(702) 476-1100
Fax
(702) 476-1101
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Dr. Luis J Lopez-Benitez, MDNPI 1891992780
Title
President
Phone
(702) 476-1100

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 12325 NV Primary

Addresses

Primary practice location

6850 N Durango Dr
Suite 420
Las Vegas, NV 89149-4595

Mailing address

6850 N Durango Dr
Suite 420
Las Vegas, NV 89149-4595
Phone (702) 476-1100

Other identifiers 1

IdentifierTypeStateIssuer
1891992780OtherNVINDIVIDUAL NPI

Other names 1

  • Centennial Ob/Gyn Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2001335Centennial OB GYN6850 N Durango Dr Ste 420, Las Vegas, NV 89149Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

6850 N Durango Dr
Ste 420
Las Vegas, NV 89149
Phone (702) 476-1100

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": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1649411885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "SUITE 420",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "702-476-1100",
            "fax_number": "702-476-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR",
            "address_2": "SUITE 420",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494595",
            "telephone_number": "702-476-1100",
            "fax_number": "702-476-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS LOPEZ-BENITEZ MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-BENITEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-476-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "12325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1891992780",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Ob/Gyn",
            "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 Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.