Healthcare Provider Details

I. General information

NPI: 1558285585
Provider Name (Legal Business Name): NISHA MEHER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7920 N DECATUR BLVD STE 106
LAS VEGAS NV
89131-2841
US

IV. Provider business mailing address

6363 CLARICE AVE APT 279
LAS VEGAS NV
89107-1378
US

V. Phone/Fax

Practice location:
  • Phone: 725-286-1785
  • Fax:
Mailing address:
  • Phone: 702-888-0443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113492
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: