CENTENNIAL SPECIALTY SURGERY CENTER INC (NPI# 1043560295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043560295 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL SPECIALTY SURGERY CENTER INC |
| Practice Address |
5550 Painted Mirage Rd Suite 100 Las Vegas NV 89149-4581 |
| Mailing Address |
Po Box 16297 Beverly Hills CA 90209-2297 |
| Practice Telephone | 3109938994 |
| Mailing Telephone | 8009916448 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | DR. DANIEL P TAHERI (OWNER) |
| Authorized Official Telephone | 3109938994 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
20120078160-37 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | CORPORATION ID | 20120078160-37 | 01 |
| Street Address |
5550 PAINTED MIRAGE RD SUITE 100 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89149-4581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285756007 | James Alexander Trent | Family Medicine | 5550 Painted Mirage Rd, Suite 110, Las Vegas, NV 89149-4581 | 2007-04-04 |
| 1801251608 | Nevada Plastic Surgery LLC | Plastic Surgery | 5550 Painted Mirage Rd, Suite 217, Las Vegas, NV 89149-4581 | 2015-12-21 |
| 1154704997 | Jessica Kersey | Occupational Therapist | 5550 Painted Mirage Rd, Suite 320, Las Vegas, NV 89149-4581 | 2015-06-29 |
| 1124400015 | Jennifer Weaver | Occupational Therapist | 5550 Painted Mirage Rd, Suite 320, Las Vegas, NV 89149-4581 | 2015-06-26 |
| 1346622719 | Beyond Boundaries | Occupational Therapist | 5550 Painted Mirage Rd, Suite 320, Las Vegas, NV 89149-4581 | 2015-06-22 |
| 1588087449 | Triumphant Life Performance Service LLC | Community/Behavioral Health | 5550 Painted Mirage Rd, 320, Las Vegas, NV 89149-4581 | 2014-01-29 |
| 1295157287 | Puzzle Pieces Autism and Behavioral Services, LLC | Community/Behavioral Health | 5550 Painted Mirage Rd, Suite 320, Las Vegas, NV 89149-4581 | 2014-01-10 |
| 1740624584 | David A Mazany | Counselor | 5550 Painted Mirage Rd, 320, Las Vegas, NV 89149-4581 | 2013-04-23 |
| 1700229697 | Martha Silva | Counselor | 5550 Painted Mirage Rd, 320, Las Vegas, NV 89149-4581 | 2013-04-10 |
| 1376895490 | Pete Andrew Reyes | Behavioral Analyst | 5550 Painted Mirage Rd, 320, Las Vegas, NV 89149-4581 | 2012-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
| 1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
| 1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
| 1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
| 1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
| 1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
| 1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
| Find all providers in zip 89149 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797485 | Nevada Rural Healthcare | Clinic/Center | 5785 S Fort Apache Rd Ste B-100, Las Vegas, NV 89148-5659 | 2020-03-27 |
| 1336772375 | Smith Plastic Surgery Building | Clinic/Center | 7650 W Sahara Ave, Las Vegas, NV 89117-2750 | 2020-02-18 |
| 1457813107 | Surgeon's Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1619439379 | Cimarron Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 150, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1780140772 | Adios Estenosis LLC | Clinic/Center | 2450 Fire Mesa St Ste 100, Las Vegas, NV 89128-9001 | 2019-02-14 |
| 1760947717 | Advanced Orthopaedic Surgery Center, LLC | Clinic/Center | 7183 Advanced Way, Las Vegas, NV 89113-3624 | 2019-02-04 |
| 1821560434 | Sunset Pain Surgery Center | Clinic/Center | 9120 W Russell Rd Unit 100, Las Vegas, NV 89148-1229 | 2018-12-20 |
| 1215429030 | Medical and Dental Center of Nevada LLC | Clinic/Center | 4275 Burnham Ave Ste 101, Las Vegas, NV 89119-5400 | 2018-06-06 |
| 1083119085 | Comprehensive Digest Surgery Center LLC | Clinic/Center | 8440 W Warm Springs Rd, Las Vegas, NV 89113-3624 | 2018-03-29 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on CENTENNIAL SPECIALTY SURGERY CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.