Organization Active NPI

Centennial Radiation Oncology, P.C.

  • Radiation Oncology Physician
  • Lafayette, CO
National Provider Identifier
1942278361
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CENTENNIAL RADIATION ONCOLOGY, P.C.
Practice address
120 Old Laramie TRL E
Lafayette, CO 80026-7012
Phone
(303) 926-9800
Fax
(303) 926-9801
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Mr. Chris Noonan
Title
Business Administrator
Phone
(303) 926-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

120 Old Laramie TRL E
Lafayette, CO 80026-7012

Mailing address

120 Old Laramie TRL E
Lafayette, CO 80026-7012
Phone (303) 926-9800

Other identifiers 1

IdentifierTypeStateIssuer
04019378MedicaidCO

National Provider Directory

National Provider Directory

Locations

7000 Broadway
Denver, CO 80221
Phone (303) 327-9738

2121 E Harmony Rd
Unit 160
Fort Collins, CO 80528
Phone (970) 482-3328

1240 Doctors Ln
#400
Fort Collins, CO 80524
Phone (970) 482-3328

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1942278361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL RADIATION ONCOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "303-926-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019378",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.