Individual provider Active NPI

Sushma D Reddy, DMD

  • General Practice Dentistry
  • Westfield, MA
National Provider Identifier
1811208903
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855451 Issued in MA
Practice address
60 Court St
Westfield, MA 01085-3509
Phone
(413) 568-5285
Fax
(413) 568-1570
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 DN1855451 MA Primary

Addresses

Primary practice location

60 Court St
Westfield, MA 01085-3509

Mailing address

60 Court St
Westfield, MA 01085-3509
Phone (413) 568-5285

Other practice location 1

176 Main St Ste 210
Southbridge, MA 01550-2561
Phone (774) 402-8400

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
DN1855451MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Court Street Dental General Practice Current Accepting new patients
Ivory Dental PC General Practice Past Accepting new patients
Park Square Dental PC General Practice PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811208903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COURT ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853509",
            "telephone_number": "413-568-5285",
            "fax_number": "413-568-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COURT ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853509",
            "telephone_number": "413-568-5285",
            "fax_number": "413-568-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Main St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Southbridge",
            "state": "MA",
            "postal_code": "015502561",
            "country_code": "US",
            "telephone_number": "774-402-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUSHMA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.