Organization Active NPI

Krishna M Reddy DDS Inc

  • Dentist
  • Whittier, CA
National Provider Identifier
1407236706
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30106 Issued in CA
Legal business name
KRISHNA M REDDY DDS INC
Practice address
7910 Norwalk Blvd
Whittier, CA 90606-2196
Phone
(562) 699-0343
Fax
(562) 699-1609
NPI assigned
Jun 2, 2015
Organization subpart
Yes
Parent organization
DR KRISHNA M REDDYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Dr. Krishna Reddy, DDSNPI 1831263086
Title
Owner
Phone
(562) 699-0343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30106 CA Primary

Addresses

Primary practice location

7910 Norwalk Blvd
Whittier, CA 90606-2196

Mailing address

7910 Norwalk Blvd
Whittier, CA 90606-2196
Phone (562) 699-0343

Other identifiers 1

IdentifierTypeStateIssuer
B30106-02MedicaidCA

National Provider Directory

National Provider Directory
Part of
Krishna M Reddy DDS Inc

Locations

7910 Norwalk Blvd
Whittier, CA 90606
Phone (562) 699-0343

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1407236706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 NORWALK BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062196",
            "telephone_number": "562-699-0343",
            "fax_number": "562-699-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 NORWALK BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062196",
            "telephone_number": "562-699-0343",
            "fax_number": "562-699-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHNA M REDDY DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR KRISHNA M REDDY",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-699-0343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "30106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B30106-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.