Radha Iduru Reddy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19769 Issued in MA

Practice address

84 Spring St
New Bedford, MA 02740-5935

Phone

(508) 993-9947

Fax

(508) 993-1058

NPI assigned

Aug 29, 2006

Sex

Female

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reddy Dental Associates

  • General Practice Dentistry
  • New Bedford, MA
  • NPI 1760512685
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407965254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SPRING ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405935",
            "telephone_number": "508-993-9947",
            "fax_number": "508-993-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SPRING ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405935",
            "telephone_number": "508-993-9947",
            "fax_number": "508-993-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RADHA",
        "middle_name": "IDURU",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Jaye Rebello, RN
• Christina Redd, LICSW
• Reddy Dental Associates
• Reddy Wellness LLC
• Kristin Reddy
• Raghu Iduru Reddy, DMD
• Timothy Paul Reddy
• Angela N Reed
• Stephanie Reed, M.S.W.
• Tiffini Mari Reedy, N.P.

• General Practice Dentistry in New Bedford, MA
• Providers in New Bedford, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.