Individual provider Active NPI

Michael David Scherer, D.M.D., M.S.

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1386898914
Registry record updated Jun 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7771 Issued in NV
Practice address
4040 S Eastern Ave Ste 330
Las Vegas, NV 89119-0854
Phone
(702) 867-4651
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D012098 AZ
Dentist 122300000X 7800 OK
General Practice Dentistry 1223G0001X DN18040 FL
Prosthodontics 1223P0700X 58233 CA
Dentist 122300000X 7771 NV Primary

Addresses

Primary practice location

4040 S Eastern Ave Ste 330
Las Vegas, NV 89119-0854

Mailing address

PO Box 217
Soulsbyville, CA 95372-0217
Phone (209) 536-1954

Other practice location 1

800 Delnero Dr
Sonora, CA 95370-5221
Phone (209) 536-1954

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D012098AZMDDentist
7771NVMDDentist
7800OKMDDentist
DN18040FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Scherer DMD Ms PC General Practice CurrentSince Jun 15, 2025 Accepting new patients
Michael D. Scherer, DMD, Ms, Inc. Dentist Past Accepting new patients
Melissa D Shotell DMD Ms Inc Dentist PastSince Jun 15, 2025 Accepting new patients

Locations

4040 S Eastern Ave
Ste 330
Las Vegas, NV 89119
Phone (702) 867-4651

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": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1386898914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SOULSBYVILLE",
            "state": "CA",
            "postal_code": "953720217",
            "telephone_number": "209-536-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 S EASTERN AVE STE 330",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190854",
            "telephone_number": "702-867-4651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Delnero Dr",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705221",
            "country_code": "US",
            "telephone_number": "209-536-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHERER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012098",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7800",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18040",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "58233",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7771",
            "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 Jun 15, 2025; 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.