Individual provider Active NPI

Hima-Bindu Reddy, D.D.S.

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1801812193
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411155 Issued in VA
Practice address
4605 Pinecrest Office Park Dr Ste B
Alexandria, VA 22312-1442
Phone
(703) 658-0550
Fax
(703) 658-2826
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401411155 VA Primary

Addresses

Primary practice location

4605 Pinecrest Office Park Dr Ste B
Alexandria, VA 22312-1442

Mailing address

4605 Pinecrest Office Park Dr Ste B
Alexandria, VA 22312-1442
Phone (703) 658-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903000124 CA Order and Referring Only - DentistPractitioner - Dentist 9133435357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401411155VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dura Dental CurrentSince Jun 18, 2023 Accepting new patients
Smile Doctors Virginia, PLLC PastSince Jun 18, 2023 Accepting new patients

Locations

4605 Pinecrest Office Park Dr
#B
Alexandria, VA 22312
Phone (703) 658-0550

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1801812193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 PINECREST OFFICE PARK DR STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-658-0550",
            "fax_number": "703-658-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 PINECREST OFFICE PARK DR STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-658-0550",
            "fax_number": "703-658-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "HIMA-BINDU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.