Lalitha Reddy Shada

Primary specialty

DentistTaxonomy code 122300000X

License

39660 Issued in TX

Practice address

1600 N Sarah Dewitt Dr Ste 206
Gonzales, TX 78629-2714

Phone

(830) 971-0268

NPI assigned

Jun 19, 2023

Sex

Female

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

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1831874643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 DONNELLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441522",
            "telephone_number": "630-461-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N SARAH DEWITT DR STE 206",
            "city": "GONZALES",
            "state": "TX",
            "postal_code": "786292714",
            "telephone_number": "830-971-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADA",
        "first_name": "LALITHA REDDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto Rivas, M.D.
• Rhonda Shron Roberts, DENTAL HYGIENIST
• Angelica Christine Salas, LVN
• Rafael Angel Salas, PSYD
• Arlene Marie Sanchez, LVN
• Smiles of Gonzales, PLLC
• Leslie Smith, DDS
• Stacia D Sweeney, OTA
• T-Rex Therapy Services LLC
• Marie Ida Terreo, LVN

• Dentist in Gonzales, TX
• Providers in Gonzales, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.