Individual provider Active NPI

Sneha Tammareddy, DDS

  • Dentist
  • Winchester, VA
National Provider Identifier
1194348136
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401417818 Issued in VA
Practice address
1705 Amherst St Ste 102
Winchester, VA 22601-3346
Phone
(540) 667-8731
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417818 VA
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 0401417818 VA Primary

Addresses

Primary practice location

1705 Amherst St Ste 102
Winchester, VA 22601-3346

Mailing address

2341 Liberty Loop
Herndon, VA 20171-5411
Phone (908) 745-8797

Other practice location 1

511 E 3rd St Unit 301
Bethlehem, PA 18015-2096
Phone (484) 526-2460

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401417818VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jared J Pell DDS PC Dentist PastSince Dec 24, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1194348136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 LIBERTY LOOP",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715411",
            "telephone_number": "908-745-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 AMHERST ST STE 102",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013346",
            "telephone_number": "540-667-8731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 E 3rd St Unit 301",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180152096",
            "country_code": "US",
            "telephone_number": "484-526-2460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMMAREDDY",
        "first_name": "SNEHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417818",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.