Modern Wellness Clinic, LLC
NPI 1245801273 · Family Medicine Physician · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1245801273
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Webb, Managing Parner(702) 236-7171
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Infectious Disease Physician207RI0200X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Modern Wellness Clinic
- Doing business as
- Modern Wellness Clinic
Additional practice locations (1)
- 3115 S Eastern AveLas Vegas, NV 89169-3308Phone: (702) 463-9159Fax: (702) 463-6611
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.