Individual provider Active NPI

Michael Lawrence Sherman, DDS

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1245323559
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7054 Issued in NV
Practice address
5001 E Bonanza Rd Ste 160
Las Vegas, NV 89110-3560
Phone
(702) 307-2273
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045563 NY
Dentist 122300000X 7054 NV Primary

Addresses

Primary practice location

5001 E Bonanza Rd Ste 160
Las Vegas, NV 89110-3560

Mailing address

9935 Fletcher Peak Ave
Las Vegas, NV 89178-9336
Phone (631) 806-1275

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7054NVMDDentist
045563NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Dental Mead, LLC Current Accepting new patients
Tender Dental Boulder, LLC Current Accepting new patients
Tender Dental Bonanza, LLC Current Accepting new patients

Locations

5001 E Bonanza Rd
Ste 160
Las Vegas, NV 89110
Phone (702) 307-2273

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1245323559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 FLETCHER PEAK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891789336",
            "telephone_number": "631-806-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E BONANZA RD STE 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103560",
            "telephone_number": "702-307-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045563",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7054",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2022; 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.