Active NPI
Varsha Devi Reddy, D.D.S.
- Pediatric Dentistry
- Tappan, NY
National Provider Identifier
1295852838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 50873
- Practice address
- 6 Independence Ave
Tappan, NY 10983-1304 - Phone
- (845) 359-8080
- Fax
- (845) 359-9328
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 50873 | NY | Primary |
Addresses
Primary practice location
6 Independence Ave
Tappan, NY 10983-1304
Mailing address
1 Irving PL
Apt. V-26B
New York, NY 10003-9701
Phone (212) 777-8874
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 |
|---|---|---|---|
| 50873 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295852838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 IRVING PL",
"address_2": "APT. V-26B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039701",
"telephone_number": "212-777-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 INDEPENDENCE AVE",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109831304",
"telephone_number": "845-359-8080",
"fax_number": "845-359-9328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "VARSHA",
"middle_name": "DEVI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "50873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tappan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.