Active NPI
Reddy Dental Associates
- General Practice Dentistry
- Bellerose, NY
National Provider Identifier
1295800324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0436721
- Legal business name
- REDDY DENTAL ASSOCIATES
- Practice address
- 251 Hillside Ave
Bellerose, NY 11426 - Phone
- (718) 470-0500
- Fax
- (516) 285-0400
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chiran Reddy, DDS
- Title
- President
- Phone
- (516) 285-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0436721 | NY | Primary |
Addresses
Primary practice location
251 Hillside Ave
Bellerose, NY 11426
Mailing address
21 Carman Ave
East Meadow, NY 11554
Phone (516) 794-3301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01452611 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Reddy Dental Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Elmont, NY
- NPI 1437238144
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Floral PK, NY
- NPI 1316025588
-
- Dentist
- Elmont, NY
- NPI 1831277003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295800324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CARMAN AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-794-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 HILLSIDE AVE",
"city": "BELLEROSE",
"state": "NY",
"postal_code": "11426",
"telephone_number": "718-470-0500",
"fax_number": "516-285-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDDY DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "CHIRAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-285-2000",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "0436721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01452611",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellerose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.