Active NPI
Dara J Welborn MD PC
- Family Medicine Physician
- Henderson, NV
National Provider Identifier
1275622110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10216
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.