Organization Active NPI

Pfdental Reddy Inc

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1609297134
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023596 Issued in OH
Legal business name
PFDENTAL REDDY INC
Practice address
9000 N Main St
Ste 207
Dayton, OH 45415-1180
Phone
(937) 836-7282
Fax
(937) 836-7394
NPI assigned
Dec 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Rohit Reddy
Title
Owner
Phone
(937) 836-7282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.023596 OH Primary

Addresses

Primary practice location

9000 N Main St
Ste 207
Dayton, OH 45415-1180

Mailing address

9000 N Main St
Ste 207
Dayton, OH 45415-1180
Phone (937) 836-7282

National Provider Directory

National Provider Directory

Locations

9000 N Main St
Ste 207
Englewood, OH 45415
Phone (937) 836-7282

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1609297134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "STE 207",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-836-7282",
            "fax_number": "937-836-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N MAIN ST",
            "address_2": "STE 207",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151180",
            "telephone_number": "937-836-7282",
            "fax_number": "937-836-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFDENTAL REDDY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ROHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-836-7282"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.