Active NPI
Ramdeepak Nanamala Reddy, D.D.S.
- Dentist
- Temecula, CA
National Provider Identifier
1851631568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62102
- Practice address
- 40140 Winchester Rd Ste a
Temecula, CA 92591-6517 - Phone
- (951) 695-1870
- NPI assigned
- Feb 18, 2013
- Last updated
- Dec 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 62102 | CA | Primary |
Addresses
Primary practice location
40140 Winchester Rd Ste a
Temecula, CA 92591-6517
Mailing address
40140 Winchester Rd Ste a
Temecula, CA 92591-6517
Phone (951) 695-1870
Other practice location 1
4533 College Ave
San Diego, CA 92115-4010
Phone (619) 380-2828
Other names 1
- Deepak Nanamala Reddy
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy and Reddy Dental Corporation | Current | Accepting new patients | |
| S.M. Bhatt, DDS, Inc | Dentist | Past | Accepting new patients |
| Reddy Dental Corporation | Past | Accepting new patients |
Locations
4533 College Ave
San Diego, CA 92115
Phone (619) 286-3355
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- San Diego, CA
- NPI 1750097804
-
- General Practice Dentistry
- Temecula, CA
- NPI 1215318183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1851631568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40140 WINCHESTER RD STE A",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925916517",
"telephone_number": "951-695-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40140 WINCHESTER RD STE A",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925916517",
"telephone_number": "951-695-1870"
}
],
"practiceLocations": [
{
"address_1": "4533 College Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921154010",
"country_code": "US",
"telephone_number": "619-380-2828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "RAMDEEPAK",
"middle_name": "NANAMALA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-18",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEEPAK",
"last_name": "REDDY",
"middle_name": "NANAMALA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.