Active NPI
Bangalore T Sharat C Reddy, DDS
- Dentist
- East Elmhurst, NY
National Provider Identifier
1649455361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 042290
- Practice address
- 3103 76TH St
East Elmhurst, NY 11370-1822 - Phone
- (718) 899-6696
- NPI assigned
- Dec 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 042290 | NY | Primary |
Addresses
Primary practice location
3103 76TH St
East Elmhurst, NY 11370-1822
Mailing address
3103 76TH St
East Elmhurst, NY 11370-1822
Phone (718) 899-6696
Other names 1
- Sharat C Reddy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042290 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1649455361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 76TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701822",
"telephone_number": "718-899-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 76TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701822",
"telephone_number": "718-899-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "BANGALORE T SHARAT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-31",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "042290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARAT",
"last_name": "REDDY",
"middle_name": "C",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.