Active NPI
Dubbaka Devender Reddy, MD
- Pediatrics Physician
- Adamsville, TN
National Provider Identifier
1144328576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0000012083
- Practice address
- 335 US Highway 64
Adamsville, TN 38310-4078 - Phone
- (731) 632-5499
- Fax
- (731) 925-2157
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 2, 2015
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0000012083 | TN | Primary |
Addresses
Primary practice location
335 US Highway 64
Adamsville, TN 38310-4078
Mailing address
PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3 170816 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000012083 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1144328576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 655",
"city": "SAVANNAH",
"state": "TN",
"postal_code": "383720655",
"telephone_number": "731-925-2300",
"fax_number": "731-925-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 US HIGHWAY 64",
"city": "ADAMSVILLE",
"state": "TN",
"postal_code": "383104078",
"telephone_number": "731-632-5499",
"fax_number": "731-925-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "DUBBAKA",
"middle_name": "DEVENDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "0000012083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3 170816",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adamsville, TN
- Meditrust Medical Equipment & Supply,LLC
- Angela M Nixon, APN
- Samantha Dawn Oaks, COTA/L
- Paul B Payne Special Care Dental of Tennessee PL (Special Care Dental of Tennessee LLC)
- Catherine J Prather, PHARM. D.
- Macy Jaye Redmon
- Heath Anthony Robertson, D.M.D
- Amie Roland, APN
- Mandy R Russell, MSN, APRN, NP-C
- Michael Harding Smelser, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.