Active NPI
Sadra Mohaghegh, DDS
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
National Provider Identifier
1518839026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1001 Shadow Lane, Las Vegas, Nevada 89106
Las Vegas, NV 89106 - Phone
- (702) 774-2545
- NPI assigned
- Sep 23, 2025
- Last updated
- Sep 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1001 Shadow Lane, Las Vegas, Nevada 89106
Las Vegas, NV 89106
Mailing address
1001 Shadow Lane, Las Vegas, Nevada 89106
Las Vegas, NV 89106
Phone (702) 774-2545
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1518839026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SHADOW LANE, LAS VEGAS, NEVADA 89106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-774-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SHADOW LANE, LAS VEGAS, NEVADA 89106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-774-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAGHEGH",
"first_name": "SADRA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"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 Sep 23, 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.