Nitya Reddy, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0442000368 Issued in VA

Practice address

520 N 12TH St
Richmond, VA 23298-5064

Phone

(804) 828-9356

NPI assigned

Jun 19, 2017

Last updated

Oct 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Run Dental of Libbie Mill, PLLC

  dba River Run Dental

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1720795131

  Periodontics

  NPD (past)
• River Run Dental of Winterfield Crossing, PLLC

  • Dentist
  • Midlothian, VA
  • NPI 1760147706
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1063942241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NITYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0442000368",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY RESIDENT DENTAL LICENSE IN VA",
            "identifier": "0442000368",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nityareddy13@gmail.com",
            "affiliation": "N",
            "address_1": "520 N 12th St",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232985064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nityareddy13@gmail.com",
            "affiliation": "N",
            "address_1": "520 N 12th St",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232985064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan Recupero
• Red Heart Family Services (RHFS)
• Reddy Medical Associates P.C. (Reddy's Pharmacy)
• Harini B Reddy, DMD
• Karishma Reddy, M.D.
• Saigopala Ravula Reddy
• Katarina Maria Brandt Redekop
• Redemption Physical Therapy and Performance
• Rediclinic LLC
• Rediclinic LLC

• Periodontics in Richmond, VA
• Providers in Richmond, VA by specialty
• Periodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.