Elicia Murtha, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14060948-9926 Issued in UT

Practice address

US Dental Health Activity Fort Cavazos
36000 Shoemaker Center Suite 1051
Fort Hood, TX 76544

Phone

(803) 280-1946

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elicia Truesdale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1144068867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W GEMINI LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US DENTAL HEALTH ACTIVITY FORT CAVAZOS",
            "address_2": "36000 SHOEMAKER CENTER SUITE 1051",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "803-280-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHA",
        "first_name": "ELICIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "14060948-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELICIA",
            "last_name": "TRUESDALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tranessia Murphy, RN
• Yvetta Murphy, LCSW
• Deborah Murray, RN BSN
• Jacob Michael Murray, PA-C
• Lacy Murray, RDH
• Deanna Marie Musfeldt, MD
• Moses Musoke, PHARM.D.
• Thomas Kimoi Mwibanda, LCSW
• Maritess A Myers, LPC, LMFT, LCDC, NCC
• Kevin Myirski

• General Practice Dentistry in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.