Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centennial Dermatology and Skin Cancer Inc

Organization Dermatology Physician · NPI 1902160252

Centennial Dermatology and Skin Cancer Inc is a Dermatology Physician 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
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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