Sukrita Matta, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30722 Issued in TX

Practice address

1244 Southridge CT
Suite103
Hurst, TX 76053-4307

Phone

(908) 410-1389

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sukrita Bedi Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sukrita Bedi Matta DDS, PLLC

  dba Compass Dental

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1023810462
  NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1790995694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 SOUTHRIDGE CT",
            "address_2": "SUITE103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534307",
            "telephone_number": "908-410-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 SOUTHRIDGE CT",
            "address_2": "SUITE103",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534307",
            "telephone_number": "908-410-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "SUKRITA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUKRITA",
            "last_name": "BEDI",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Martinez, COTA
• Mary Ann Block DO PA (The Block Center)
• Massey Capital (Gentle Beginnings Birth Center)
• Michele Massey, CPM, LM
• Edie Matos, OTR/L
• Justin David Matthews, LMT
• Maverick County Hospital District (Hurst Plaza Nursing and Rehab)
• Hannah Nicole Maxey, OTD, OTR
• Linda Mayer
• Blair Estelle McClatchy, M.S., CCC-SLP

• General Practice Dentistry in Hurst, TX
• Providers in Hurst, 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 Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.