NPI Details
DR. Likith V Reddy, D.D.S., M.D is an oral maxillofacial surgery in Dallas, TX with 26 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Likith V Reddy, D.D.S., M.D NPI is 1104887645. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2000
The provider's business location address is:
3302 GASTON AVE
RM #161
DALLAS, TX
ZIP 75246-013
Phone: (214) 828-8455
Fax: (214) 828-8382
The NPI 1104887645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 3/31/2006 and was last updated on 5/7/2014.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 204E00000X | Oral & Maxillofacial Surgery | | Q0158 | TEXAS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 2414097 | MEDICAID | OHIO | |
| 2 | RE4115661 | MEDICARE PIN | OHIO | |
| 3 | H93214 | MEDICARE UPIN | OHIO | |
| 4 | 2554294 | MEDICAID | OHIO | |
