Active NPI
Caitlin Marie Reddy, DMD, MS
- Periodontics
- Tacoma, WA
National Provider Identifier
1376975144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2901021024
- Practice address
- 9900 Lincoln St
Tacoma, WA 98431-1110 - Phone
- (253) 968-3336
- NPI assigned
- Aug 5, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2901021024 | MI | Primary |
| General Practice Dentistry | 1223G0001X | 2901021024 | MI |
Addresses
Primary practice location
9900 Lincoln St
Tacoma, WA 98431-1110
Mailing address
9900 Lincoln St
Tacoma, WA 98431-1110
Phone (253) 968-3336
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021024 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1376975144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 LINCOLN ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311110",
"telephone_number": "253-968-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 LINCOLN ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311110",
"telephone_number": "253-968-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "CAITLIN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MI",
"license": "2901021024",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901021024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.