Kireeti Reddy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1002774-15 Issued in WI

Practice address

N97W17095 Division Rd
Germantown, WI 53022-4606

Phone

(262) 618-7479

NPI assigned

Jun 9, 2019

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birchtree Dental Center

  • General Practice Dentistry
  • Westland, MI
  • NPI 1497824155
  NPD (past)

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1952960486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N97W17095 DIVISION RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224606",
            "telephone_number": "262-618-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N97W17095 DIVISION RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224606",
            "telephone_number": "262-618-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KIREETI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-09",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600148",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002774-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quirt Family Dentistry, S.C.
• Radermacher Chiropractic LLC
• Keith Gerard Radermacher, DC
• Eric A Rasmussen, MS OTR
• Gregory L Rasmussen, PT, ATC
• Sarah M Reik, LPC
• Lynn Rekoske, MS CCC SLP
• Mark Rhyner, MD
• Ridecare Transport Corp
• Ryan Daniel Robillard, DC

• Dentist in Germantown, WI
• Providers in Germantown, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.