CENTENNIAL PEDIATRICS
NPI 1508243395
Clinic/Center - Primary Care in Las Vegas, NV
About Centennial Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTENNIAL PEDIATRICS (NPI 1508243395) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Jennifer Tenby, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
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 29D1079233
Centennial Pediatrics · Las Vegas, NVOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pediatrics's NPI number?
The NPI number for Centennial Pediatrics is 1508243395. It was assigned to this organization in the NPPES registry on April 30, 2015.
Where is Centennial Pediatrics located?
Centennial Pediatrics is located at 6850 N Durango Dr Ste 306, Las Vegas, NV 89149. The listed phone number is (702) 897-6000.
What is Centennial Pediatrics's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Centennial Pediatrics hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D1079233) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Centennial Pediatrics was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.