Individual provider Active NPI

Prasanna Saireddy, DDS

  • Dentist
  • Nutley, NJ
National Provider Identifier
1770918609
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02551200 Issued in NJ
Practice address
242 Washington Ave Ste D
Nutley, NJ 07110-1956
Phone
(973) 667-1567
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02551200 NJ Primary

Addresses

Primary practice location

242 Washington Ave Ste D
Nutley, NJ 07110-1956

Mailing address

19 Fairview PL
Montclair, NJ 07043-2318

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

LicenseStateTypeSpecialty
22DI02551200NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Brighter Smiles Dental LLC Current Accepting new patients

Locations

242 Washington Ave
Ste D
Nutley, NJ 07110
Phone (973) 667-1567

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1770918609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FAIRVIEW PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WASHINGTON AVE STE D",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101956",
            "telephone_number": "973-667-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIREDDY",
        "first_name": "PRASANNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02551200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.