Individual provider Active NPI

Sailaja G Reddy, DMD

  • General Practice Dentistry
  • Cuyahoga Falls, OH
National Provider Identifier
1356445043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21735 Issued in OH
Practice address
63 Graham Rd
Ste 3
Cuyahoga Falls, OH 44223-1204
Phone
(330) 920-8060
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21735 OH Primary

Addresses

Primary practice location

63 Graham Rd
Ste 3
Cuyahoga Falls, OH 44223-1204

Mailing address

4717 Remmington Ave
Copley, OH 44321
Phone (330) 665-4405

Other identifiers 1

IdentifierTypeStateIssuer
2424675MedicaidOH

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

LicenseStateTypeSpecialty
21735OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sailajareddy Inc Current Accepting new patients
Medina Dental Sleep Solutions LLC General Practice Current Accepting new patients

Locations

3617 Reserve Commons Dr
Medina, OH 44256
Phone (330) 722-7060

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356445043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 REMMINGTON AVE",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "44321",
            "telephone_number": "330-665-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GRAHAM RD",
            "address_2": "STE 3",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231204",
            "telephone_number": "330-920-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SAILAJA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

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.

Verify at the official NPI Registry.