Organization Active NPI

Dara J Welborn MD PC

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1275622110
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10216 Issued in NV
Legal business name
DARA J WELBORN MD PC
Practice address
10001 S Eastern Ave
Suite 309
Henderson, NV 89052-3907
Phone
(702) 269-6346
Fax
(702) 269-9422
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dara Welborn, MD
Title
President
Phone
(702) 269-6345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10216 NV Primary

Addresses

Primary practice location

10001 S Eastern Ave
Suite 309
Henderson, NV 89052-3907

Mailing address

10001 S Eastern Ave
Suite 309
Henderson, NV 89052-3907
Phone (702) 269-6345

Other names 1

  • Cornerstone Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

10001 S Eastern Ave
Ste 407
Henderson, NV 89052
Phone (702) 269-6345

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1275622110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE",
            "address_2": "SUITE 309",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523907",
            "telephone_number": "702-269-6345",
            "fax_number": "702-269-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE",
            "address_2": "SUITE 309",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523907",
            "telephone_number": "702-269-6346",
            "fax_number": "702-269-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARA J WELBORN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-269-6345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.