Reddi Sumathi Nagarimadugu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10317 Issued in OR

Practice address

2235 NW Town Center Dr
Hillsboro, OR 97006

Phone

(503) 825-8862

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1922480367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 CHANTICLEER DR",
            "address_2": "APT # B6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-336-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 NW TOWN CENTER DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-825-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARIMADUGU",
        "first_name": "REDDI SUMATHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10317",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60576801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Price Health
• Lewis Myers, MSW
• Vanessa Ivy Myers, AAS, CRM
• Michelle Myott, MS
• Karli Nabours, NP
• Harpreet Nagra, PHD
• Ava Najafi
• Kristine Nakasato, LAC
• Michael Yoshio Nakashimada, PHARMD
• Janey Namkung, PHARMD

• General Practice Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.