NPIMap

Organization Active NPI

Nirup Reddy and Bortay Dehnadi D.D.S, Inc.

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1407380207
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50800 Issued in CA
Legal business name
NIRUP REDDY AND BORTAY DEHNADI D.D.S, INC.
Doing business as
Nirup Reddy and Bortay Dehnadi D.D.S, Inc.
Practice address
1507 Panama LN Ste 102
Bakersfield, CA 93307-5682
Phone
(661) 398-5555
Fax
(661) 398-5510
NPI assigned
Apr 18, 2017
Organization subpart
Yes
Parent organization
HACIENDA DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Nirup Reddy, D.D.SNPI 1841349669
Title
Dentist
Phone
(661) 398-5555

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 50800 CA Primary

Addresses

Primary practice location

1507 Panama LN Ste 102
Bakersfield, CA 93307-5682

Mailing address

1507 Panama LN Ste 102
Bakersfield, CA 93307-5682
Phone (661) 398-5555

Other identifiers 1

IdentifierTypeStateIssuer
1487027843MedicaidCA

Other names 1

  • Nirup Reddy and Bortay Dehnadi D.D.S, Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Nirup Reddy Bortay Dehnadi DDS Inc

Locations

1507 Panama Ln
Ste 102
Bakersfield, CA 93307
Phone (661) 398-5555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1407380207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 PANAMA LN STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933075682",
            "telephone_number": "661-398-5555",
            "fax_number": "661-398-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 PANAMA LN STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933075682",
            "telephone_number": "661-398-5555",
            "fax_number": "661-398-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRUP REDDY AND BORTAY DEHNADI D.D.S, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HACIENDA DENTAL",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NIRUP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "661-398-5555",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487027843",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nirup Reddy and Bortay Dehnadi D.D.S, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.