CENTENNIAL PEDIATRICS
NPI 1508243395
Clinic/Center - Primary Care in Las Vegas, NV

Active since April 30, 2015CLIA 29D1079233 · Waiver
6850 N DURANGO DR STE 306, LAS VEGAS, NV 89149(702) 897-6000 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1508243395
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCENTENNIAL PEDIATRICS
Location Address6850 N DURANGO DR STE 306Las Vegas, NV 89149-4597
Mailing Address6850 N Durango Dr Ste 306Las Vegas, NV 89149-4597 · (702) 897-6000
Organization SubpartNo
Authorized OfficialJennifer TenbyOffice Manager · (702) 396-6277
Enumeration DateApril 30, 2015
NPI 1508243395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NV · APRN001899
6850 N DURANGO DR STE 306, Las Vegas, NV 89149

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, NV
Active · expires Jan 28, 2028
CLIA Number29D1079233
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorMichael C. Tenby MD
Laboratory Phone(702) 897-6000
Laboratory LocationCentennial Pediatrics6850 N Durango Dr Ste 306 3rd Floor, Las Vegas, NV 89149
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Pediatrics
6850 N DURANGO DR STE 306
LAS VEGAS, NV 89149
Nurse Practitioner (Family)
6850 N DURANGO DR STE 306
LAS VEGAS, NV 89149

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.