DR. SHANMUKHA REDDY KALLAM DDS
NPI 1184257610
Dentist - General Practice in Philadelphia, PA

Active since February 12, 2020
1575 N 52ND ST STE 705, PHILADELPHIA, PA 19131(215) 879-1777 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shanmukha Reddy Kallam Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANMUKHA REDDY KALLAM DDS (NPI 1184257610) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS042550) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1184257610
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANMUKHA REDDY KALLAMCredential: DDS
Location Address1575 N 52ND ST STE 705Philadelphia, PA 19131-4729
Mailing Address22 Short Hills BlvdJackson, NJ 08527-4883 · (732) 678-7185
Sole ProprietorNo
Enumeration DateFebruary 12, 2020
NPI 1184257610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS042550
Definition

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.

1575 N 52ND ST STE 705, Philadelphia, PA 19131

Accepted Insurance

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131
Dentist (General Practice)
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131
Dentist
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131
Dentist
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131
Dentist (General Practice)
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131
Dentist (General Practice)
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131
Dentist (General Practice)
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131
Dentist
1575 N 52ND ST STE 705
PHILADELPHIA, PA 19131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanmukha Reddy Kallam's NPI number?

The NPI number for Shanmukha Reddy Kallam is 1184257610. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Shanmukha Reddy Kallam located?

Shanmukha Reddy Kallam practices at 1575 N 52nd St Ste 705, Philadelphia, PA 19131. The listed phone number is (215) 879-1777.

What is Shanmukha Reddy Kallam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shanmukha Reddy Kallam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Shanmukha Reddy Kallam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanmukha Reddy Kallam was last updated on February 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.