Creative Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CREATIVE DENTAL CLINIC

Practice address

1537 Dekalb Pike
Blue Bell, PA 19422-3315

Phone

(484) 231-1554

Fax

(484) 231-1821

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Konreddy Jainder Reddy, DMD

Title

Dentist

Phone

(610) 212-6588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1942840640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 DEEP MEADOW LN",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194467403",
            "telephone_number": "610-212-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223315",
            "telephone_number": "484-231-1554",
            "fax_number": "484-231-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "KONREDDY",
        "authorized_official_middle_name": "JAINDER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "610-212-6588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Craig, CRNP, FNP-C
• Cramer Dental PC
• Craig Cramer, DMD
• Robbin L. Cramer, DMD
• Mercedes Crawford, OTR/L
• Amiyna Crew
• Nicole Cumbo, MD
• Alison Rae Currie, DPT
• Nancy S Czarnecki, M.D.
• John D'Andrea, RPH

• General Practice Dentistry in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.