Shannon Marie Keyes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

34 Manchester Ave
Suiet 103
Forked River, NJ 08731-1366

Phone

(609) 971-7900

Fax

(609) 971-7799

NPI assigned

Apr 22, 2007

Sex

Female

Sole proprietor

Yes

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.

• Shannon Keyes DMD LLC

  • General Practice Dentistry
  • Forked River, NJ
  • NPI 1235533241
  NPD (past) Authorized official

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1285852871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MANCHESTER AVE",
            "address_2": "SUIET 103",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311366",
            "telephone_number": "609-971-7900",
            "fax_number": "609-971-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MANCHESTER AVE",
            "address_2": "SUIET 103",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311366",
            "telephone_number": "609-971-7900",
            "fax_number": "609-971-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brielle Jusssen, OTR
• Lisa Adrian Kassenoff, D.O.
• Cynthia Kelly, MA
• Robert B Kelly, D.O.
• Thomas Michael Kelly Jr., R.PH., B.SC.
• Issam Joseph Khammar, DDS
• King Sleep Center
• Cynthia Virginia King, D.C.
• King'S Mindfulness Center
• Kirk Optometry, LLC

• General Practice Dentistry in Forked River, NJ
• Providers in Forked River, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.