Centennial Pain Relief Network, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

6468 Issued in NV

Legal business name

CENTENNIAL PAIN RELIEF NETWORK, LLC

Practice address

4454 N Decatur Blvd
Las Vegas, NV 89130-5286

Phone

(702) 839-1203

Fax

(702) 839-1301

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Roy Lanzkowsky, M. D.

Title

Ceo

Phone

(702) 839-1203

Specialties & licenses 1

Addresses

Other names 1

• Centennial Spine and Pain Center Doing business as

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1730375015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305286",
            "telephone_number": "702-839-1203",
            "fax_number": "702-839-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4454 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305286",
            "telephone_number": "702-839-1203",
            "fax_number": "702-839-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PAIN RELIEF NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "LANZKOWSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-839-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "6468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Spine and Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centennial Hills Urgent Care Medical Group
• Centennial LV LLC
• Centennial Medical Group LLP
• Centennial Medical Group LLP
• Centennial Medical Imaging, LLC
• Centennial Pediatrics
• Centennial Psychological Services
• Centennial Specialty Surgery Center Inc
• Centennial Surgical Center, LLC
• Centennial Wellness Center

• Pain Medicine (Anesthesiology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pain Medicine (Anesthesiology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.