Active NPI
Sandy Bachleda, DDS
- Dentist
- Lincroft, NJ
National Provider Identifier
1336396290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI19237
- Practice address
- 437 Newman Springs Rd
Lincroft, NJ 07738-1328 - Phone
- (732) 530-7333
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DI19237 | NJ | Primary |
Addresses
Primary practice location
437 Newman Springs Rd
Lincroft, NJ 07738-1328
Mailing address
437 Newman Springs Rd
Lincroft, NJ 07738-1328
Phone (732) 530-7333
Other names 1
- Suruetai Sandy Temisoot
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI19237 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1336396290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 NEWMAN SPRINGS RD",
"city": "LINCROFT",
"state": "NJ",
"postal_code": "077381328",
"telephone_number": "732-530-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 NEWMAN SPRINGS RD",
"city": "LINCROFT",
"state": "NJ",
"postal_code": "077381328",
"telephone_number": "732-530-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHLEDA",
"first_name": "SANDY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI19237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SURUETAI",
"last_name": "TEMISOOT",
"middle_name": "SANDY",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincroft, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.