Individual provider Active NPI

David Dixon Dorway, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1154323855
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3582 Issued in NV
Practice address
3150 N Tenaya Way
#260
Las Vegas, NV 89128-0443
Phone
(702) 870-2099
Fax
(702) 407-0266
NPI assigned
Aug 11, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3582 NV Primary

Addresses

Primary practice location

3150 N Tenaya Way
#260
Las Vegas, NV 89128-0443

Mailing address

PO Box 1737
Las Vegas, NV 89125-1737
Phone (702) 671-6809

Other identifiers 4

IdentifierTypeStateIssuer
003102189MedicaidNV
CS01857OtherNVSTATE PHARMACY
002018189MedicaidNV
3582OtherNVMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3582NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus PC PastSince Apr 1, 2018 Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Pediatrics Past Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
Southwest Medical Associates, Inc PastSince Mar 21, 2005 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154323855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891251737",
            "telephone_number": "702-671-6809",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N TENAYA WAY",
            "address_2": "#260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280443",
            "telephone_number": "702-870-2099",
            "fax_number": "702-407-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORWAY",
        "first_name": "DAVID",
        "middle_name": "DIXON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003102189",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY",
            "identifier": "CS01857",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018189",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3582",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.