Active NPI
Smitha Reddy
- General Practice Dentistry
- Westlake Village, CA
National Provider Identifier
1528290699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58670
- Practice address
- 5784 Lindero Canyon Rd Ste B
Westlake Village, CA 91362-4088 - Phone
- (310) 663-7143
- NPI assigned
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7994 | AZ | |
| General Practice Dentistry | 1223G0001X | 58670 | CA | Primary |
Addresses
Primary practice location
5784 Lindero Canyon Rd Ste B
Westlake Village, CA 91362-4088
Mailing address
1401 Country Ranch Rd
Westlake Village, CA 91361-5584
Phone (310) 663-7143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150914000168 | CA | Order and Referring Only - Dentist | 8123335825 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7994 | AZ | MD | General Practice Dentistry |
Interoperability endpoints
- sreddy@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1528290699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 COUNTRY RANCH RD",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913615584",
"telephone_number": "310-663-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5784 LINDERO CANYON RD STE B",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913624088",
"telephone_number": "310-663-7143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SMITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-21",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D7994",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
- Razmig Krumian D.O. a Medical Corporation
- Reachingthestarscenter
- Recombi Inc
- Recovery Advocates, LLC
- Norm Reddick, DMD
- Reflecting Hour Marriage and Family Therapy, Inc.
- Daniel J Regan, L.AC.
- Regents of the University of California
- Regents of the University of California
- Regents of the University of California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.