NPIMap

Organization Active NPI

Reddy Dental PC

  • Dentist
  • Frederick, MD
National Provider Identifier
1073973954
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15771 Issued in MD
Legal business name
REDDY DENTAL PC
Practice address
5726 Buckeystown Pike Unit B
Frederick, MD 21704-5239
Phone
(301) 695-1414
Fax
(301) 695-1588
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Hima-Bindu Reddy, DDS
Title
President
Phone
(714) 578-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 15771 MD Primary

Addresses

Primary practice location

5726 Buckeystown Pike Unit B
Frederick, MD 21704-5239

Mailing address

8415 Datapoint Dr
Ste. 1020
San Antonio, TX 78229-3298
Phone (714) 578-6358

National Provider Directory

National Provider Directory
Tax ID family
Reddy Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5726 Buckeystown Pike
Unit B
Frederick, MD 21704
Phone (301) 620-9090

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1073973954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR",
            "address_2": "STE. 1020",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293298",
            "telephone_number": "714-578-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 BUCKEYSTOWN PIKE UNIT B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045239",
            "telephone_number": "301-695-1414",
            "fax_number": "301-695-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "HIMA-BINDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-578-6358",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "15771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.