Reddy Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REDDY DENTAL

Practice address

3218 N Grimes St
Hobbs, NM 88240-1254

Phone

(575) 396-4074

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nishanth Reddy Puchalapalli, DDSNPI 1770847436

Title

Managing Member

Phone

(408) 306-8365

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nishanth Reddy Puchalapalli, DDS

  • General Practice Dentistry
  • Lovington, NM
  • NPI 1770847436
  NPD Authorized official

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1619648342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W COTTONWOOD AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602652",
            "telephone_number": "408-306-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 N GRIMES ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882401254",
            "telephone_number": "575-396-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "PUCHALAPALLI",
        "authorized_official_first_name": "NISHANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-306-8365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Rasco
• Shawnna Blair Read, CNP
• Clay Owen Reber, O.D.
• David Bryce Reber, O.D.
• Harold Lee Reber, O. D.
• Andrea Redfield
• Jesyca Redhouse
• Lilly Reece
• Kenneth Eugene Reed, LPCC
• Remington Reeder

• General Practice Dentistry in Hobbs, NM
• Providers in Hobbs, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.