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CENTENNIAL DERMATOLOGY AND SKIN CANCER INC
NPI 1902160252
Dermatology in Las Vegas, NV

Active since July 02, 2012CLIA 29D2044597 · Certificate of Compliance
5550 PAINTED MIRAGE RD, SUITE 110, LAS VEGAS, NV 89149(702) 432-3800 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centennial Dermatology And Skin Cancer Inc NPPES

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

CENTENNIAL DERMATOLOGY AND SKIN CANCER INC (NPI 1902160252) is a healthcare organization registered as a dermatology in Las Vegas, Nevada and active in the NPI registry since July 2012. The organization holds a CLIA Certificate of Compliance certificate valid through June 4, 2028 and lists Daniel Taheri, President, as its authorized official.

NPPES Registry Identity

NPI1902160252
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTENNIAL DERMATOLOGY AND SKIN CANCER INC
Location Address5550 PAINTED MIRAGE RD, SUITE 110Las Vegas, NV 89149-4581
Mailing AddressPo Box 496084Redding, CA 96049-6084 · (702) 432-3800
Phone(702) 432-3800
Organization SubpartNo
Authorized OfficialDaniel TaheriPresident · (702) 432-3800
Enumeration DateJuly 2, 2012
✔ NPI 1902160252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5550 PAINTED MIRAGE RD, Las Vegas, NV 89149
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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

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 Compliance 29D2044597

Centennial Dermatology & Skin Center · Las Vegas, NV
Active · expires Jun 4, 2028
CLIA Number29D2044597
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorDaniel P. Taheri
Laboratory Phone(702) 432-3800
Laboratory LocationCentennial Dermatology & Skin Center5550 Painted Mirage Rd Ste 200, Las Vegas, NV 89149
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

CENTENNIAL SPECIALTY SURGERY CENTER INC
Clinic/Center (Ambulatory Surgical)
5550 PAINTED MIRAGE RD, SUITE 100
LAS VEGAS, NV 89149
Clark County (310) 993-8994
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

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 Dermatology And Skin Cancer Inc's NPI number?

The NPI number for Centennial Dermatology And Skin Cancer Inc is 1902160252. It was assigned to this organization in the NPPES registry on July 2, 2012.

Where is Centennial Dermatology And Skin Cancer Inc located?

Centennial Dermatology And Skin Cancer Inc is located at 5550 Painted Mirage Rd Suite 110, Las Vegas, NV 89149. The listed phone number is (702) 432-3800.

What is Centennial Dermatology And Skin Cancer Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Centennial Dermatology And Skin Cancer Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 29D2044597) is associated with this NPI, valid through June 4, 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 Dermatology And Skin Cancer Inc was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.