Avesta Reddy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

110168 Issued in CA

Practice address

6013 Niles St Ste 1
Bakersfield, CA 93306-4696

Phone

(661) 741-1029

NPI assigned

May 5, 2023

Reactivated

Aug 16, 2024

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reddy Dehnadi Reddy DDS, Inc.

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1619811791
  NPD Authorized official
• Hacienda Dental

  • Dental Clinic/Center
  • Bakersfield, CA
  • NPI 1275772634
  NPD (past)
• Nirup Reddy and Bortay Dehnadi D.D.S, Inc.

  • Dentist
  • Bakersfield, CA
  • NPI 1407380207
  NPD (past)

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1760171565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 NILES ST STE 1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 NILES ST STE 1",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064696",
            "telephone_number": "661-741-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Panama Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933075682",
            "country_code": "US",
            "telephone_number": "661-398-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "AVESTA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-05",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "deactivation_date": "2024-08-07",
        "reactivation_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazlyn Ciara-Marie Redday
• Jordan Redden
• William J. Redden, M.D.
• Reddy Dehnadi Reddy DDS, Inc.
• Shivanjali Reddy Patel, PT
• Nirup Reddy, DDS
• Niyoti Reddy, M.D.
• Sandeep Kundoor Reddy, RPH
• Sudha Reddy, MD
• Swapna Reddy, PHD

• Dentist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.