Nukala H. Reddy, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22740 Issued in TX

Practice address

13618 NW Military Hwy
Shavano Park, TX 78231-1804

Phone

(210) 493-5555

NPI assigned

Jul 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sanjay Jawanda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Reddy Dental Bandera, DDS PA

  dba The Tooth Doctor

  • Dental Clinic/Center
  • San Antonio, TX
  • NPI 1568659217
  Authorized official Same address or phone
• Reddy Dental Dba PA

  dba The Tooth Doctor

  • Dental Clinic/Center
  • Shavano Park, TX
  • NPI 1356536338
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881625630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311804",
            "telephone_number": "210-493-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 NW MILITARY HWY",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311804",
            "telephone_number": "210-493-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "NUKALA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJAY",
            "last_name": "JAWANDA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Delbert E Rainosek, MD
• Peter E Ramirez, MD
• Ashley Rangel
• Reem Razeq, PA
• Reddy Dental Dba PA (The Tooth Doctor)
• Rehab Associates
• Theresa Reiff Garcia
• Fernando Reyes San Martin
• Sheilla Riaz
• Brittany Robinson, LMFT

• Dentist in Shavano Park, TX
• Providers in Shavano Park, TX by specialty
• Dentist in Texas

• 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.