OrganizationActive
Centennial Pediatrics
NPI 1508243395 · Primary Care Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1508243395
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Tenby, Office Manager(702) 396-6277
- License
- APRN001899 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6850 N Durango Dr Ste 306
Las Vegas, NV 89149-4597
Phone: (702) 897-6000
Approximate (ZIP-level) locationGet directions
Mailing address
6850 N Durango Dr Ste 306
Las Vegas, NV 89149-4597
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2015-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.