Sri Harshita Moturu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

39999 Issued in TX

Practice address

639 Alta Mere Dr
Fort Worth, TX 76114-4019

Phone

(817) 717-1508

NPI assigned

Sep 12, 2023

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

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1467239608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 GAGE AVE APT 281",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091593",
            "telephone_number": "781-308-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 ALTA MERE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761144019",
            "telephone_number": "817-717-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTURU",
        "first_name": "SRI",
        "middle_name": "HARSHITA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39999",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wayne Mothersole, DDS
• Travis A Motley, DPM
• Sandrine Motokwa Ntsang, PMHNP
• Charles Austin Mott, DPT
• Jeffrey Charles Mott, PA
• Motus Center, Inc.
• Nangmoon Amanda Moua
• Sherry Moua, APRN, FNP-C
• Connie B Moulder, L.P.C.
• John Stephen Moulton, O.D.

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.