Active NPI
Chiran Reddy, DDS
- Dentist
- Floral PK, NY
National Provider Identifier
1316025588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 043672-1
- Practice address
- 257-08 Hillside Ave
Floral PK, NY 11004 - Phone
- (718) 470-0500
- Fax
- (718) 347-2747
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 043672-1 | NY | Primary |
Addresses
Primary practice location
257-08 Hillside Ave
Floral PK, NY 11004
Mailing address
21 Carman Ave
East Meadow, NY 11554
Other names 1
- Dr. Chiranjeev Kambam Reddy
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 |
|---|---|---|---|
| 043672-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Dental Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Bellerose, NY
- NPI 1295800324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1316025588",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257-08 HILLSIDE AVE",
"city": "FLORAL PK",
"state": "NY",
"postal_code": "11004",
"telephone_number": "718-470-0500",
"fax_number": "718-347-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "CHIRAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "043672-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHIRANJEEV",
"last_name": "REDDY",
"middle_name": "KAMBAM",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.