Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407057664 Individual Practitioner Female Practitioner

Anitha Peddireddy , MDS

Dentist - General Practice • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Anitha Peddireddy, MDS is a registered healthcare professional specializing in Dentist - General Practice in Mankato, MN. Practice services are available at 101 MARTIN LUTHER KING DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Martin Luther King Dr

Mankato, MN 560016460

Telephone 5075946500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mankato, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Mankato, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D12331

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

520 Main St

Hawley, MN 565490849

Phone: 2184831038

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Robert Jeske , MD

Family Medicine

NPI 1093040735

Doctor of Medicine (M.D.)

Kayla Wojciechowski , LICSW

Social Worker - Clinical

NPI 1154073567

Licensed Independent Clinical Social Worker

NPI 1164874913

Doctor of Medicine (M.D.)

Nancy Linder , RNC FNP

Nurse Practitioner - Family

NPI 1194725838

RNCFNP

Thomas Dvorak , PA-C

Physician Assistant

NPI 1326248683

Physician Assistant (Certified)

NPI 1366987901

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 03, 2021

Registered at 101 MARTIN LUTHER KING DR, MANKATO, MN 560016460 (Tel: 5075946500)

📍
Updated Business Mailing Address February 03, 2021

Registered at 1025 MARSH ST, MANKATO, MN 560014752

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 520 MAIN ST, HAWLEY, MN 565490849 (Tel: 2184831038)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4064 NOBEL DR, #104, SAN DIEGO, CA 921225864

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANITHA PEDDIREDDY, MDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D12331 in MN)

🟢
Initial NPI Registration & Enumeration May 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407057664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: February 03, 2021
Sole Proprietor: No

Mailing Address

1025 Marsh St

Mankato, MN 560014752

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.