Kavitha Reddy, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11628 Issued in MD

Practice address

130 Thomas Johnson Dr
Suite 2
Frederick, MD 21702-4419

Phone

(301) 631-5860

Fax

(301) 631-5861

NPI assigned

Oct 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Bloom & Reddy DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frederick, MD
  • NPI 1427102961
  NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1306099759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "SUITE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "301-631-5860",
            "fax_number": "301-631-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THOMAS JOHNSON DR",
            "address_2": "SUITE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024419",
            "telephone_number": "301-631-5860",
            "fax_number": "301-631-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "11628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Canyon, LLC
• Red Canyon, LLC
• Red Canyon, LLC
• Reddy Dental PC
• Reddy Dental PC
• Sudheer Chinthakunt Reddy, MD
• Kimether Shari Redmon, FNP-C
• Ashley Lynn Reece
• Amanda J Reed, AUD
• Caitlyn Hickey Reed

• Orthodontics and Dentofacial Orthopedics Dentistry in Frederick, MD
• Providers in Frederick, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.