DR. TRACI RACHELLE FERNANDES DDS, MS
NPI 1619610847
Dentist - Orthodontics and Dentofacial Orthopedics in Pismo Beach, CA

Active since April 15, 2022
901 OAK PARK BLVD STE 203, PISMO BEACH, CA 93449(805) 489-8232(805) 489-8234 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Traci Rachelle Fernandes Dds, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACI RACHELLE FERNANDES DDS, MS (NPI 1619610847) is an individual orthodontics and dentofacial orthopedics provider in Pismo Beach, California, licensed in California (41830) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1619610847
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. TRACI RACHELLE FERNANDESCredential: DDS, MS
Location Address901 OAK PARK BLVD STE 203Pismo Beach, CA 93449-3410
Mailing Address901 Oak Park Blvd Ste 203Pismo Beach, CA 93449-3410 · (805) 489-8232 · Fax (805) 489-8234
Fax(805) 489-8234
Sole ProprietorYes
Enumeration DateApril 15, 2022
NPPES CertifiedApril 14, 2022
NPI 1619610847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 41830
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
901 OAK PARK BLVD STE 203, Pismo Beach, CA 93449

Other Names 1

Other Name (5)Dr. Traci Rachelle Fernandes Henry Dds, Ms

Other Identifiers 1

Other1225042120CA · Npi 2

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Fernandes's NPI number?

The NPI number for Traci Fernandes is 1619610847. It was assigned to this individual provider in the NPPES registry on April 15, 2022. The provider is also known as Dr. Traci Rachelle Fernandes Henry Dds, Ms.

Where is Traci Fernandes located?

Traci Fernandes practices at 901 Oak Park Blvd Ste 203, Pismo Beach, CA 93449. The listed phone number is (805) 489-8232.

What is Traci Fernandes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Traci Fernandes was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.