Tracey Shrestha, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DI24231 Issued in NJ

Practice address

131 S Main St
Forked River, NJ 08731-3635

Phone

(609) 693-6066

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern Dental of Lacey, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Forked River, NJ
  • NPI 1689722787
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1013240902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROGERS RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571626",
            "telephone_number": "732-757-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087313635",
            "telephone_number": "609-693-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "TRACEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI24231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shack Transport
• Shannon Keyes DMD LLC
• Ying-Chieh Shen, L.AC
• Allizey Shields, OTR
• Shivita RX LLC
• Sidwa Enterprise II, LLC
• Vickie Suzanne Sidwa, APN, C.
• Erica Simi, OTD, OTR/L
• Donnalee Snyder, LPC, LCADC
• Ryan Richard Sorg, OD

• Dentist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.