Organization Active NPI

Deepa Reddy, DMD, PLLC

  • Dentist
  • Rochester, NH
National Provider Identifier
1548779572
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03784 Issued in NH
Legal business name
DEEPA REDDY, DMD, PLLC
Practice address
74 S Main St
Rochester, NH 03867-2708
Phone
(603) 332-5429
Fax
(603) 332-6641
NPI assigned
Sep 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Deepa Reddy, DMD
Title
Dentist/Owner
Phone
(603) 332-5429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 03784 NH Primary

Addresses

Primary practice location

74 S Main St
Rochester, NH 03867-2708

Mailing address

74 S Main St
Rochester, NH 03867-2708
Phone (603) 332-5429

Other identifiers 1

IdentifierTypeStateIssuer
03784OtherNHLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548779572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 S MAIN ST",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038672708",
            "telephone_number": "603-332-5429",
            "fax_number": "603-332-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 S MAIN ST",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038672708",
            "telephone_number": "603-332-5429",
            "fax_number": "603-332-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPA REDDY, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "603-332-5429",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "03784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "03784",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.