Active NPI
David Dixon Dorway, MD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1154323855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3582
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003102189 | Medicaid | NV | |
| CS01857 | Other | NV | STATE PHARMACY |
| 002018189 | Medicaid | NV | |
| 3582 | Other | NV | MEDICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3582 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bacchus PC | Past | 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 | Past | 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.
-
dba P3 Health Partners Medical Group
- Family Medicine Physician
- Henderson, NV
- NPI 1134628480
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1245217694
Pediatrics
-
- Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1477701183
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
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.