Kamreddy Dental Associates PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

KAMREDDY DENTAL ASSOCIATES PLLC

Practice address

10684 Crestwood Dr Ste C
Manassas, VA 20109-4400

Phone

(703) 361-6866

NPI assigned

Aug 21, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Keerthi Reddy Kamreddy, DDS

Title

Dentist

Phone

(913) 832-5870

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Keerthi Reddy Kamreddy, M.S IN PERIODONTOLOG

  • Periodontics
  • Mechanicsville, VA
  • NPI 1114578192
  NPD
• Richard Roy Goldin, DDS

  • Periodontics
  • Manassas, VA
  • NPI 1740443423
  NPD (past)

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1093693715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10684 CRESTWOOD DR STE C",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094400",
            "telephone_number": "703-361-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10684 CRESTWOOD DR STE C",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094400",
            "telephone_number": "703-361-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMREDDY DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "KAMREDDY",
        "authorized_official_first_name": "KEERTHI",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "913-832-5870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepak Sonu Kakar, DDS
• Jatinder Kaler, DMD
• Kavita R Kalidindi, MD
• Roshan Kalim, VA
• Ryan Christopher Kalkbrenner
• Farkhad Kandahar
• Amy Catherine Kang, M.D.
• Byong Kuk Kang, M.D.
• Eun-Hee Sarah Kang, D.O
• Hannah Sora Kang, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.