Laxmi Reddyreddy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14609 Issued in MD

Practice address

475 Seaview Ave
Staten Island, NY 10305-3436

Phone

(718) 226-9877

NPI assigned

Jun 16, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1164836367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E ROLLING XRDS STE 205",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286281",
            "telephone_number": "908-642-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053436",
            "telephone_number": "718-226-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDYREDDY",
        "first_name": "LAXMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhruthi Reddy
• Nelson Reddy, LCSW
• Rama K Reddy, MD
• Terisha Reddy
• Wendy Reddy, M.S. CCC-SLP
• Marisa Ann Reebe, MS, CCC-SLP, TSHH
• Melissa K. Reece, MSED
• Alissa Joy Refano, M.A., CCC-SLP, TSSLD
• Christie Eden Refano, LMSW
• Reflect to Grow Counseling LCSW PLLC

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.