Active NPI
William D. Reddy Jr., L.AC., DIPL.AC.
- Acupuncturist
- Fairfax, VA
National Provider Identifier
1255400727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000177
- Practice address
- 8100 Innovation Park Dr
Fairfax, VA 22031-4870 - Phone
- (571) 472-1440
- Fax
- (571) 472-1498
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000177 | VA | Primary |
Addresses
Primary practice location
8100 Innovation Park Dr
Fairfax, VA 22031-4870
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
7010 Little River Tpke
Suite 430
Annandale, VA 22003-3241
Phone (703) 354-2225
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0121000177 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1255400727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 INNOVATION PARK DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314870",
"telephone_number": "571-472-1440",
"fax_number": "571-472-1498"
}
],
"practiceLocations": [
{
"address_1": "7010 Little River Tpke",
"address_2": "Suite 430",
"address_purpose": "LOCATION",
"city": "Annandale",
"state": "VA",
"postal_code": "220033241",
"country_code": "US",
"telephone_number": "703-354-2225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "WILLIAM",
"middle_name": "D.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.AC., DIPL.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.