Uday Sekhar Reddy Mareddy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601060 Issued in MI

Practice address

2279 N Park Dr
Holland, MI 49424-8547

Phone

(616) 392-1500

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1740852128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 FALCON DR APT 208",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 N PARK DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248547",
            "telephone_number": "616-392-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREDDY",
        "first_name": "UDAY SEKHAR REDDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arington Mansfield
• David James Maranka, LMSW
• Marathon Health, LLC
• Madelyn Grace Marciniak
• Austin Marcolina, DO
• Tabitha Margritz, O.D.
• Maria C. Hoekstra DDS, P.C.
• Holly Marino
• Mark D. Berard, DDS, PC
• Jessica Markosky

• General Practice Dentistry in Holland, MI
• Providers in Holland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.