Reddy Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62102 Issued in CA

Legal business name

REDDY DENTAL CORPORATION

Practice address

40140 Winchester Rd
Suite a
Temecula, CA 92591-5511

Phone

(951) 695-1870

Fax

(951) 695-0760

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deepak Nanamala Reddy, DDS

Title

President/Ceo

Phone

(760) 402-0529

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramdeepak Nanamala Reddy, D.D.S.

  • Dentist
  • Temecula, CA
  • NPI 1851631568
  NPD (past)
• James David Yanoschik, D.D.S.

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1144326885
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1215318183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40140 WINCHESTER RD",
            "address_2": "SUITE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915511",
            "telephone_number": "951-695-1870",
            "fax_number": "951-695-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40140 WINCHESTER RD",
            "address_2": "SUITE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915511",
            "telephone_number": "951-695-1870",
            "fax_number": "951-695-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "NANAMALA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-402-0529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Reading
• Mitzi Reagers
• Jerry A Reaves, CERT. HAIR LOSS SPC.
• Marsela Janett Rebolledo
• Recovery Innovations, Inc
• Gautham T.N. Reddy, M.D.
• Ramdeepak Nanamala Reddy, D.D.S.
• Redhawk Physical Therapy, Inc.
• Lisa D Reed, D.O.
• Jessica Reeg, LMFT

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.