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CENTENNIAL VALLEY PEDIATRICS, P.C.
NPI 1447841903
Pediatrics in Broomfield, CO

Active since January 28, 2021CLIA Certified · 2 labs
469 STATE HIGHWAY 7 STE 300, BROOMFIELD, CO 80023(303) 666-7337 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 3, 2021, Jan 28, 2021 (2 updates tracked since 2021).

About Centennial Valley Pediatrics, P.c. NPPES

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

CENTENNIAL VALLEY PEDIATRICS, P.C. (NPI 1447841903) is a healthcare organization registered as a pediatrics in Broomfield, Colorado and active in the NPI registry since January 2021. The organization holds 2 active CLIA laboratory certificates and lists Ellen Boyd, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447841903
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCENTENNIAL VALLEY PEDIATRICS, P.C.
Location Address469 STATE HIGHWAY 7 STE 300Broomfield, CO 80023-8965
Mailing Address469 State Highway 7 Ste 300Broomfield, CO 80023-8965 · (303) 666-7337 · Fax (303) 666-7379
Phone(303) 666-7337
Organization SubpartNo
Authorized OfficialEllen BoydAdministrator · (303) 666-7337
Enumeration DateJanuary 28, 2021
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1447841903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
469 STATE HIGHWAY 7 STE 300, Broomfield, CO 80023
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Other Identifiers 2

Medicaid04014791CO
OtherCEJ1808CO · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2209093

Centennial Valley Pediatrics · Broomfield, CO
Active · expires Jan 10, 2027
CLIA Number06D2209093
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2025
Certificate Expiration DateJanuary 10, 2027
Laboratory DirectorDr. Lisa S. Samuelson
Laboratory Phone(303) 666-7337
Laboratory LocationCentennial Valley Pediatrics469 State Highway 7, Suite 300, Broomfield, CO 80023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0510969

Centennial Valley Pediatrics · Louisville, CO
Active · expires Mar 7, 2027
CLIA Number06D0510969
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Lisa S. Samuelson
Laboratory Phone(303) 666-7337
Laboratory LocationCentennial Valley Pediatrics400 S Mccaslin Blvd Ste 103, Louisville, CO 80027
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Valley Pediatrics, P.C.'s NPI number?

The NPI number for Centennial Valley Pediatrics, P.C. is 1447841903. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Centennial Valley Pediatrics, P.C. located?

Centennial Valley Pediatrics, P.C. is located at 469 State Highway 7 Ste 300, Broomfield, CO 80023. The listed phone number is (303) 666-7337.

What is Centennial Valley Pediatrics, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Centennial Valley Pediatrics, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Centennial Valley Pediatrics, P.C. was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.