Centennial Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CENTENNIAL FAMILY DENTISTRY

Practice address

7890 W Ann Rd Ste 150
Las Vegas, NV 89149-5214

Phone

(702) 385-7415

Fax

(702) 388-4386

NPI assigned

Oct 22, 2020

Last updated

Feb 5, 2022By 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

Dr. Zachary Dan Soard, DMDNPI 1194131011

Title

President

Phone

(702) 385-7415

Specialties & licenses 1

Addresses

Locations

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.

• Zachary Dan Soard, DMD

  • Dentist
  • North Las Vegas, NV
  • NPI 1194131011
  NPD (past) Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1750980462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 W ANN RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891495214",
            "telephone_number": "702-385-7415",
            "fax_number": "702-388-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 W ANN RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891495214",
            "telephone_number": "702-385-7415",
            "fax_number": "702-388-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "SOARD",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-385-7415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Ceniceros
• Corazon Ceniceros, BSW
• Jose Ceniceros
• Centennial Dermatology and Skin Cancer Inc
• Centennial Dermatology and Skin Cancer Inc
• Centennial Group LLC (Centennial Hospice)
• Centennial Hills Hospital Medical Center (ER at Valley Vista)
• Centennial Hills Hospital Medical Center
• Centennial Hills Hospital Medical Center
• Centennial Hills Hospital Medical Center (ER at West Craig Road)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.