Reddy Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

REDDY DENTAL PC

Practice address

68 Thomas Johnson Dr Ste B
Frederick, MD 21702-4901

Phone

(301) 620-9090

NPI assigned

Dec 16, 2019

Organization subpart

Yes

Parent organization

REDDY DENTAL, P.C.As reported in NPPES

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

Authorized official

Name

Beatriz Hernandez

Title

Supervisor

Phone

(714) 578-6591

Specialties & licenses 1

Addresses

Other names 1

• Bright Now Dental Doing business as

Tax ID family

Reddy Dental PC2 organizations share this tax ID, including this one

Part of

Reddy Dental PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reddy Dental PC

  • Dentist
  • Frederick, MD
  • NPI 1073973954
  NPD tax ID

Locations

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1760020291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR STE 1020",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293277",
            "telephone_number": "714-578-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 THOMAS JOHNSON DR STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024901",
            "telephone_number": "301-620-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDY DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDDY DENTAL, P.C.",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-578-6591"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reconstructive Foot and Ankle Institute, LLC
• Red Canyon, LLC
• Red Canyon, LLC
• Red Canyon, LLC
• Reddy Dental PC
• Kavitha Reddy, DDS, MS
• Sudheer Chinthakunt Reddy, MD
• Kimether Shari Redmon, FNP-C
• Ashley Lynn Reece
• Amanda J Reed, AUD

• Dentist in Frederick, MD
• Providers in Frederick, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.