CENTENNIAL FAMILY DENTISTRY
NPI 1750980462
Clinic/Center - Dental in Las Vegas, NV

NPI Status: Active since October 22, 2020

Contact Information

7890 W ANN RD STE 150
LAS VEGAS, NV
ZIP 89149
Phone: (702) 385-7415
Fax: (702) 388-4386

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance
  • CLIA Number: 29D2264587
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 07-14-2026

About CENTENNIAL FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Centennial Family Dentistry, a provider established in Las Vegas, Nevada operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1750980462 assigned on October 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Zachary Dan Soard Dmd (President)

NPI
1750980462
Provider Name
CENTENNIAL FAMILY DENTISTRY
Entity Type
Organization
Location Address
7890 W ANN RD STE 150 LAS VEGAS, NV 89149
Location Phone
(702) 385-7415
Location Fax
(702) 388-4386
Mailing Address
7890 W ANN RD STE 150 LAS VEGAS, NV 89149
Mailing Phone
(702) 385-7415
Mailing Fax
(702) 388-4386
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2020
Last Update Date
02-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ZACHARY DAN SOARD DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(702) 385-7415

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D2264587
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
July 15, 2024
Certificate Expiration Date
July 14, 2026
Laboratory Director
PHILLIP RIBEIRO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centennial Family Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750980462, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 8 + 8 + 0 + 4 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1750980462.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750980462, enumerated as an "organization" on October 22, 2020.

The provider is located at 7890 W ANN RD STE 150 LAS VEGAS, NV 89149 and the phone number is (702) 385-7415.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and. Please consult your insurance carrier or call the provider to verify.