Prashant Reddy, DDS
NPI 1174515563 · Oral and Maxillofacial Surgery (Dentist) · Plano, TX
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashant Reddy, DDS is a Oral and Maxillofacial Surgery (Dentist) provider in Plano, TX (NPI 1174515563).
Provider details
- NPI number
- 1174515563
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 23534 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-22
- Last updated
- 2012-05-03
Frequently asked questions
- What is Prashant Reddy's NPI number?
- Prashant Reddy's National Provider Identifier (NPI) is 1174515563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashant Reddy's specialty?
- Prashant Reddy is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Prashant Reddy located?
- Prashant Reddy's practice location on file with NPPES is 4020 W Park Blvd, Plano, TX 75093-3839.
- What is Prashant Reddy's phone number?
- The practice phone number listed in the NPPES registry for Prashant Reddy is (972) 596-7474.
- Does Prashant Reddy accept Medicare?
- Prashant Reddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashant Reddy's NPI active?
- Yes — Prashant Reddy's NPI (1174515563) is active in the NPPES registry as of the last update on 2012-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.