Reddy Dental Bandera, DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22740 Issued in TX

Legal business name

REDDY DENTAL BANDERA, DDS PA

Doing business as

The Tooth Doctor

Practice address

2278 Bandera Rd Ste a
San Antonio, TX 78228-2162

Phone

(210) 434-3731

Fax

(210) 431-5474

NPI assigned

Sep 26, 2007

Last updated

Sep 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nukala H Reddy, DDSNPI 1881625630

Title

Owner/ Dentist

Phone

(210) 493-5555

Specialties & licenses 1

Addresses

Other names 1

• The Tooth Doctor Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nukala H. Reddy, D.D.S.

  • Dentist
  • Shavano Park, TX
  • NPI 1881625630
  Authorized official Same address or phone

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1568659217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 BANDERA RD STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782282162",
            "telephone_number": "210-434-3731",
            "fax_number": "210-431-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 BANDERA RD STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782282162",
            "telephone_number": "210-434-3731",
            "fax_number": "210-431-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY DENTAL BANDERA, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "NUKALA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "210-493-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tooth Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Redding, OTR
• Leslie Redding
• Spencer W Redding, DDS
• Kenneth Bernard Reddix, FNP-BC
• Catherine Elloa Reddout, RN, MSN, CDP, LNFA
• Aronkumar T Reddy, MD
• Ashvini K Reddy, M.D.
• Bal T Reddy, MD
• Janie Anu Reddy, FNP
• K-N-Ram Mohan Reddy, PHARMD

• Dental Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.