Active NPI
Shar G Dreicer, D.C.
- Chiropractor
- Red Bank, NJ
National Provider Identifier
1720186174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2764
- Practice address
- 316 Broad St
Suite 7
Red Bank, NJ 07701-2154 - Phone
- (732) 758-9666
- Fax
- (732) 758-1091
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2764 | NJ | Primary |
Addresses
Primary practice location
316 Broad St
Suite 7
Red Bank, NJ 07701-2154
Mailing address
316 Broad St
Ste 7
Red Bank, NJ 07701-2154
Phone (732) 758-9666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157414 | Other | NJ | PTAN |
| X40531 | Other | NY | LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081212000383 | NJ | Practitioner - Chiropractic | 9931260668 | Practice locations: Red Bank, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
711 Sycamore Ave
Suite a
Red Bank, NJ 07701-4921
Phone (732) 758-9666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1720186174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 BROAD ST",
"address_2": "STE 7",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012154",
"telephone_number": "732-758-9666",
"fax_number": "732-758-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 BROAD ST",
"address_2": "SUITE 7",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077012154",
"telephone_number": "732-758-9666",
"fax_number": "732-758-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREICER",
"first_name": "SHAR",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "2764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "157414",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "X40531",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.