Jyothi Kalimireddi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02422300 Issued in NJ

Practice address

715 Broadway
Ste 201
Paterson, NJ 07514-3406

Phone

(908) 351-4860

NPI assigned

Sep 10, 2010

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Smile Cares Family Dentistry

  • General Practice Dentistry
  • Patterson, NJ
  • NPI 1134591795

  General Practice

  NPD (past)

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1285941245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BROADWAY",
            "address_2": "STE 201",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075143406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BROADWAY",
            "address_2": "STE 201",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075143406",
            "telephone_number": "908-351-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIMIREDDI",
        "first_name": "JYOTHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038414",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02422300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Just Kidz Pediatrics
• Liana Kabbani, DPT
• Visweswara Sastry Kadiyam
• Alissa Rachel Kahn, M.D.
• Haris Kalatoudis, M.D.
• Nickolaos Zackary Kallis, DMD
• Megan Elizabeth Kaminskyj, M.D.
• Majhavi Kanetkar, MD
• Brooke Elizabeth Kania
• Vaishnavi Venkata Kanisetti

• All providers in Paterson, NJ
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.