Individual provider Active NPI

Krishna Mundi Reddy, DDS

  • Dentist
  • Whittier, CA
National Provider Identifier
1831263086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
7910 Norwalk Blvd
Whittier, CA 90606-2196
Phone
(562) 699-0343
Fax
(562) 699-1609
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CA Primary

Addresses

Primary practice location

7910 Norwalk Blvd
Whittier, CA 90606-2196

Mailing address

7910 Norwalk Blvd
Whittier, CA 90606-2196
Phone (562) 699-0343

Other identifiers 1

IdentifierTypeStateIssuer
B30106-02OtherCAMEDICAL PROVIDER NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
30106CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Farhad Manavi Professional Dental Corporation PastSince Aug 1, 2021 Accepting new patients
Krishna M Reddy DDS Inc Dentist Past Accepting new patients

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831263086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 NORWALK BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062196",
            "telephone_number": "562-699-0343",
            "fax_number": "562-699-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 NORWALK BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062196",
            "telephone_number": "562-699-0343",
            "fax_number": "562-699-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KRISHNA",
        "middle_name": "MUNDI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "B30106-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.