Active NPI
Richard Mann Reddish, D.D.S.
- Dentist
- Salisbury, MD
National Provider Identifier
1265701239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3862
- Practice address
- 1104 Riverside Drive
Salisbury, MD 21801 - Phone
- (410) 742-7758
- NPI assigned
- Dec 21, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3862 | MD | Primary |
Addresses
Primary practice location
1104 Riverside Drive
Salisbury, MD 21801
Mailing address
1104 Riverside Drive
Salisbury, MD 21801
Phone (410) 742-7758
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 |
|---|---|---|---|
| 3862 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1265701239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 RIVERSIDE DRIVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-742-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 RIVERSIDE DRIVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21801",
"telephone_number": "410-742-7758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDISH",
"first_name": "RICHARD",
"middle_name": "MANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "3862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.