NPIMap

Organization Active NPI

Nirup Reddy and Bortay Dehnadi DDS, Inc.

  • Dentist
  • Hawthorne, CA
National Provider Identifier
1487027843
Registry record updated Nov 23, 2015
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 DDS, INC.
Doing business as
Reddy Dental Group
Practice address
4570 W El Segundo Blvd
Hawthorne, CA 90250-4318
Phone
(310) 973-1919
Fax
(310) 679-7777
NPI assigned
Nov 7, 2015
Organization subpart
Yes
Parent organization
NIRUP REDDY AND BORTAY DEHNADI DDS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Dr. Nirup Reddy, DDS
Title
Owner
Phone
(310) 973-1919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 50800 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 56334 CA

Addresses

Primary practice location

4570 W El Segundo Blvd
Hawthorne, CA 90250-4318

Mailing address

251 W Harvard Blvd
Santa Paula, CA 93060-3213
Phone (310) 973-1919

Other names 1

  • Reddy Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nirup Reddy Bortay Dehnadi DDS Inc3 organizations share this tax ID, including this one
Part of
Nirup Reddy Bortay Dehnadi DDS Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4570 W El Segundo Blvd
Hawthorne, CA 90250
Phone (310) 973-1919

251 W Harvard Blvd
Santa Paula, CA 93060
Phone (412) 522-5464

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.

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1487027843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W HARVARD BLVD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930603213",
            "telephone_number": "310-973-1919",
            "fax_number": "310-679-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 W EL SEGUNDO BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504318",
            "telephone_number": "310-973-1919",
            "fax_number": "310-679-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRUP REDDY AND BORTAY DEHNADI DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIRUP REDDY AND BORTAY DEHNADI DDS, INC.",
        "enumeration_date": "2015-11-07",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NIRUP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-973-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50800",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reddy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.