Centennial Surgical Specialists PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CENTENNIAL SURGICAL SPECIALISTS PC

Practice address

26 W Dry Creek Cir Ste 740
Littleton, CO 80120-8066

Phone

(303) 224-0500

Fax

(303) 224-0606

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Haeman B Noori, DDSNPI 1821256504

Title

Owner/Oral Surgeon

Phone

(720) 475-4772

Specialties & licenses 1

Addresses

Other names 1

• Peak Oral & Maxillofacial Surgery Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haeman Noori, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakewood, CO
  • NPI 1821256504
  NPD Authorized official
• John A. Carroll, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Littleton, CO
  • NPI 1982711370
  NPD (past)
• Anne Lorraine Stearns, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakewood, CO
  • NPI 1790942829
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1841975992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR STE 740",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208066",
            "telephone_number": "303-224-0500",
            "fax_number": "303-224-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR STE 740",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208066",
            "telephone_number": "303-224-0500",
            "fax_number": "303-224-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL SURGICAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "NOORI",
        "authorized_official_first_name": "HAEMAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "720-475-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Oral & Maxillofacial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Littleton, CO
• Providers in Littleton, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.