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CENTENNIAL SPECIALTY SURGERY CENTER INC
NPI 1043560295
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since September 14, 2012
5550 PAINTED MIRAGE RD, SUITE 100, LAS VEGAS, NV 89149(310) 993-8994 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centennial Specialty Surgery Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL SPECIALTY SURGERY CENTER INC (NPI 1043560295) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since September 2012. The organization lists Daniel P Taheri, Owner, as its authorized official.

NPPES Registry Identity

NPI1043560295
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTENNIAL SPECIALTY SURGERY CENTER INC
Location Address5550 PAINTED MIRAGE RD, SUITE 100Las Vegas, NV 89149-4581
Mailing AddressPo Box 16297Beverly Hills, CA 90209-2297 · (800) 991-6448
Phone(310) 993-8994
Organization SubpartNo
Authorized OfficialDaniel P TaheriOwner · (310) 993-8994
Enumeration DateSeptember 14, 2012
Last NPPES UpdateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
✔ NPI 1043560295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NV · 20120078160-37
5550 PAINTED MIRAGE RD, Las Vegas, NV 89149
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Other Identifiers 1

Other20120078160-37NV · Corporation Id

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WEAVER OTR/L
Occupational Therapist
5550 PAINTED MIRAGE RD, SUITE 320
LAS VEGAS, NV 89149
Clark County (702) 444-0774
JESSICA KERSEY
Occupational Therapist
5550 PAINTED MIRAGE RD, SUITE 320
LAS VEGAS, NV 89149
Clark County (702) 444-0774
DR. JAMES ALEXANDER TRENT M.D.
Family Medicine
5550 PAINTED MIRAGE RD, SUITE 110
LAS VEGAS, NV 89149
Clark County (702) 432-3800
PUZZLE PIECES AUTISM AND BEHAVIORAL SERVICES, LLC
Community/Behavioral Health
5550 PAINTED MIRAGE RD, SUITE 320
LAS VEGAS, NV 89149
Clark County (702) 818-1702
MRS. ADENA LYNN DANDRIDGE
Rehabilitation Practitioner
5550 PAINTED MIRAGE RD, 320
LAS VEGAS, NV 89149
Clark County (702) 981-9350
BEYOND BOUNDARIES
Occupational Therapist (Neurorehabilitation)
5550 PAINTED MIRAGE RD, SUITE 320
LAS VEGAS, NV 89149
Clark County (702) 444-0774
MR. PETE ANDREW REYES
Behavior Analyst
5550 PAINTED MIRAGE RD, 320
LAS VEGAS, NV 89149
Clark County (702) 900-5561
MENTAL CLARITY THERAPY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5550 PAINTED MIRAGE RD
LAS VEGAS, NV 89149
Clark County (434) 229-8540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Specialty Surgery Center Inc's NPI number?

The NPI number for Centennial Specialty Surgery Center Inc is 1043560295. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Centennial Specialty Surgery Center Inc located?

Centennial Specialty Surgery Center Inc is located at 5550 Painted Mirage Rd Suite 100, Las Vegas, NV 89149. The listed phone number is (310) 993-8994.

What is Centennial Specialty Surgery Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Centennial Specialty Surgery Center Inc was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.