Active NPI
Shashidhar Ramchandrareddy, DMD
- Dentist
- Buffalo, NY
National Provider Identifier
1033317813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 055427
- Practice address
- 3302 Sheridan Dr
Buffalo, NY 14226-1439 - Phone
- (617) 820-9291
- NPI assigned
- Jul 3, 2007
- Last updated
- Apr 1, 2024
- Sex
- Male
- 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 | 055427 | NY | Primary |
Addresses
Primary practice location
3302 Sheridan Dr
Buffalo, NY 14226-1439
Mailing address
77 Linwood Ave
Apt#6
Buffalo, NY 14209-2211
Phone (617) 820-9291
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 |
|---|---|---|---|
| 055427 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchard Park Dentalcare PLLC | Current | Accepting new patients |
Locations
3302 Sheridan Dr
Buffalo, NY 14226
Phone (617) 820-9291
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1033317813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 LINWOOD AVE",
"address_2": "APT#6",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092211",
"telephone_number": "617-820-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 SHERIDAN DR",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142261439",
"telephone_number": "617-820-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMCHANDRAREDDY",
"first_name": "SHASHIDHAR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "055427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.