Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Centennial Dermatology and Skin Cancer Inc

Organization Dermatology Physician · NPI 1902160252

Centennial Dermatology and Skin Cancer Inc provides Dermatology Physician services in Las Vegas, Nevada. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5550 Painted Mirage Rd Ste 110
Las Vegas, NV 89149-4581 Not confirmed with CMS for 14 years — call before visiting
Phone: (702) 432-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1902160252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Taheri — President · (702) 432-3800
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012
Mailing addressPo Box 496084, Redding, CA 96049-6084

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