Callaway-Nelson Centennial Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CALLAWAY-NELSON CENTENNIAL MODERN DENTISTRY, PC

Practice address

7910 W Tropical Pkwy
140
Las Vegas, NV 89149-4554

Phone

(702) 273-3676

Fax

(702) 430-6427

NPI assigned

Aug 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Cari A Callaway-Nelson, DDS

Title

Owner

Phone

(702) 273-3676

Specialties & licenses 1

Addresses

Other names 1

• Centennial Modern Dentistry and Orthodontics Doing business as

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1982158150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W TROPICAL PKWY",
            "address_2": "140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494554",
            "telephone_number": "702-273-3676",
            "fax_number": "702-430-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY-NELSON CENTENNIAL MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY-NELSON",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-273-3676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Modern Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matilda Callahan
• Nadine Callahan
• Danielle Marie Callanan, PA-C
• Alexandra Louisse Panganiban Callanta, FNP-C
• Rafael Espique Callanta, NURSE PRACTITIONER
• Callaway-Nelson Flamingo Smiles, PC
• Cari Allison Callaway-Nelson, DDS
• Donna Renee Callaway, D.C.
• Randall Callaway, M.S., MFT
• Karim R Calle, LCSW

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.