CENTENNIAL DERMATOLOGY AND SKIN CANCER INC
NPI 1942565205
Dermatology in Las Vegas, NV

Active since July 11, 2012
5500 PAINTED MIRAGE ROAD, SUITE 100, LAS VEGAS, NV 89149(702) 432-3800 Get Directions Write a Review

NPPES record last updated: July 11, 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 1942565205) is a healthcare organization registered as a dermatology in Las Vegas, Nevada and active in the NPI registry since July 2012. The organization lists Daniel Taheri, President, as its authorized official.

NPPES Registry Identity

NPI1942565205
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTENNIAL DERMATOLOGY AND SKIN CANCER INC
Location Address5500 PAINTED MIRAGE ROAD, SUITE 100Las Vegas, NV 89149
Mailing AddressPo Box 496084Redding, CA 96049-6084 · (702) 432-3800
Organization SubpartNo
Authorized OfficialDaniel TaheriPresident · (702) 432-3800
Enumeration DateJuly 11, 2012
NPI 1942565205 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.
5500 PAINTED MIRAGE ROAD, Las Vegas, NV 89149

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

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 1942565205. It was assigned to this organization in the NPPES registry on July 11, 2012.

Where is Centennial Dermatology And Skin Cancer Inc located?

Centennial Dermatology And Skin Cancer Inc is located at 5500 Painted Mirage Road Suite 100, 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.

When was this NPI record last updated?

The NPPES record for Centennial Dermatology And Skin Cancer Inc was last updated on July 11, 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.