Sherifat O Audu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0026034 Issued in TX

Practice address

639 Alta Mere Drive
Fort Worth, TX 76114

Phone

(281) 796-5629

NPI assigned

Oct 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Museum Smiles PLLC

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1497169767
  NPD

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1316257488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 ENGELFIELD CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496694",
            "telephone_number": "281-796-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 ALTA MERE DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76114",
            "telephone_number": "281-796-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDU",
        "first_name": "SHERIFAT",
        "middle_name": "O",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26034",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0026034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine A Atwell, RPH
• Cindy L Atwell, PA
• Aubrel Consulting Solutions LLC
• Aubrel Consulting Solutions LLC
• Kehinde Audu
• Joanna G. Auger, OTR
• Edwin Charles Augustat, M.D.
• Ludine Augustin
• Ashton B Aulds
• Katherine Aultman, LMSW

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 Aug 8, 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.