Destiny Redding, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN122370 Issued in GA

Practice address

1430 Highway 20 W
McDonough, GA 30253-7305

Phone

(678) 537-6000

NPI assigned

Aug 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Ga Dentistry Services PC

  • General Practice Dentistry
  • McDonough, GA
  • NPI 1053739979
  NPD (past)
• Kevin D. Oh, LLC

  • Dentist
  • McDonough, GA
  • NPI 1740726025
  NPD (past)

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1104591023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 STRATTON DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538048",
            "telephone_number": "770-895-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537305",
            "telephone_number": "678-537-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Market St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Locust",
            "state": "NC",
            "postal_code": "280979439",
            "country_code": "US",
            "telephone_number": "980-354-8154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Mahaley Ave # B",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442449",
            "country_code": "US",
            "telephone_number": "704-637-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDING",
        "first_name": "DESTINY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12455",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne Michelle Ray-Leverett, FNP
• Hansel M Rayner, PA-C
• Travis Ready, PHARMD
• Lauren Evelyn Reba-Harrelson, PHD
• Rebound Integrative Medical Group Psychiatry
• Evelyn O'Leary Redding, FNP-C
• Rajasekhar Reddy, M.D.
• Haley Reed, LPC, NCC
• Jeffrey Scott Reed, D.O.
• Angela Denise Reese, LMT, LE

• Dentist in McDonough, GA
• Providers in McDonough, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.