Sidharth Poolapalli Reddy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36497 Issued in TX

Practice address

525 Doddridge St
Corpus Christi, TX 78411-2371

Phone

(361) 854-7999

NPI assigned

Aug 6, 2020

Sex

Male

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

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.

• Forest Springs Dental PLLC

  • Dental Clinic/Center
  • Dripping Springs, TX
  • NPI 1275260523
  NPD Authorized official
• Allen Dentistry, PLLC

  • General Practice Dentistry
  • Corpus Christi, TX
  • NPI 1982003075
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1396355020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 GRANITE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142184",
            "telephone_number": "281-636-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 DODDRIDGE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112371",
            "telephone_number": "361-854-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SIDHARTH",
        "middle_name": "POOLAPALLI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Ramon Recio, PA-C
• Schamica D Rector, LVN
• Geeta P Reddy, M.D.
• Neelima Reddy, RPH
• Siddharth Reddy, MD
• Thretha Reddy, MD
• Veena Kommera Reddy, M.D.
• Vishnu V Reddy, M.D.
• Alduaine Jose Redublo, PT,CWS,NCS
• Sarah Jennifer Reece-Stremtan, M.D.

• General Practice Dentistry in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.