Reddy Dental Dba PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22740 Issued in TX

Legal business name

REDDY DENTAL DBA PA

Doing business as

The Tooth Doctor

Practice address

13618 NW Military Hwy
Shavano Park, TX 78231-1804

Phone

(210) 493-5555

Fax

(210) 493-5561

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nukala H Reddy, DDSNPI 1881625630

Title

Owner/Dentist

Phone

(210) 493-5555

Specialties & licenses 1

Addresses

Other names 1

• The Tooth Doctor Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nukala H. Reddy, D.D.S.

  • Dentist
  • Shavano Park, TX
  • NPI 1881625630
  NPD (past) Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1356536338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311804",
            "telephone_number": "210-493-5555",
            "fax_number": "210-493-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311804",
            "telephone_number": "210-493-5555",
            "fax_number": "210-493-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY DENTAL DBA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NUKALA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "210-493-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tooth Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Phillippe Rauch, CPC
• Delbert E Rainosek, MD
• Peter E Ramirez, MD
• Ashley Rangel
• Reem Razeq, PA
• Nukala H. Reddy, D.D.S.
• Rehab Associates
• Theresa Reiff Garcia
• Fernando Reyes San Martin
• Sheilla Riaz

• Dental Clinic/Center in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.