Organization Active NPI

Krispr Inc

  • Internal Medicine Physician
  • Southlake, TX
National Provider Identifier
1295654739
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KRISPR INC
Practice address
809 Charleston Dr
Southlake, TX 76092-1535
Phone
(908) 748-4480
Fax
(732) 451-3435
NPI assigned
Jul 10, 2026
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Padi Reddy, MD
Title
Owner
Phone
(908) 748-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

809 Charleston Dr
Southlake, TX 76092-1535

Mailing address

809 Charleston Dr
Southlake, TX 76092-1535
Phone (908) 748-4480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1295654739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CHARLESTON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921535",
            "telephone_number": "908-748-4480",
            "fax_number": "732-451-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CHARLESTON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921535",
            "telephone_number": "908-748-4480",
            "fax_number": "732-451-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISPR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-748-4480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.