Individual provider Active NPI

Christopher J Centeno, MD

  • Interventional Pain Medicine Physician
  • Broomfield, CO
National Provider Identifier
1750339990
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
32265 Issued in CO
Practice address
403 Summit Blvd
Suite 201
Broomfield, CO 80021
Phone
(303) 429-6448
Fax
(303) 951-3701
NPI assigned
May 4, 2006
Last updated
Aug 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 32265 CO Primary

Addresses

Primary practice location

403 Summit Blvd
Suite 201
Broomfield, CO 80021

Mailing address

403 Summit Blvd
Suite 201
Broomfield, CO 80021
Phone (303) 429-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2013 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32265COMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centeno-Schultz, Inc Interventional Pain Medicine CurrentSince Oct 13, 2005 Accepting new patients
Christopher J Centeno, MD, PC Interventional Pain Medicine PastSince Apr 22, 1999 Accepting new patients

Locations

403 Summit Blvd
Unit 201
Broomfield, CO 80021
Phone (303) 429-6448

9218 Kimmer Dr
Ste 101
Lone Tree, CO 80124
Phone (303) 623-2680

11080 Circle Point Rd
Ste 140
Westminster, CO 80020
Phone (303) 428-6448

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1750339990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD",
            "address_2": "SUITE 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-429-6448",
            "fax_number": "303-951-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD",
            "address_2": "SUITE 201",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80021",
            "telephone_number": "303-429-6448",
            "fax_number": "303-951-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "32265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.