Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIVYA MADIRAJU
NPI 1356035372
Dentist - General Practice in Fort Worth, TX

Active since June 05, 2023
4200 SOUTH FWY # 2, FORT WORTH, TX 76115(682) 384-4678 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Jun 21, 2024, Jun 5, 2023 (3 updates tracked since 2023).

About Divya Madiraju NPPES

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

DIVYA MADIRAJU (NPI 1356035372) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (40713) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1356035372
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDIVYA MADIRAJU
Location Address4200 SOUTH FWY # 2Fort Worth, TX 76115-1400
Mailing Address4413 Ward StNorth Richland Hills, TX 76180-8044 · (325) 603-8500
Sole ProprietorNo
Enumeration DateJune 5, 2023
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1356035372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 40713
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.
4200 SOUTH FWY # 2, Fort Worth, TX 76115

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4200 SOUTH FWY # 2
FORT WORTH, TX 76115

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 Divya Madiraju's NPI number?

The NPI number for Divya Madiraju is 1356035372. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Divya Madiraju located?

Divya Madiraju practices at 4200 South Fwy # 2, Fort Worth, TX 76115. The listed phone number is (682) 384-4678.

What is Divya Madiraju's specialty?

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

What insurance does Divya Madiraju accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and DentaQuest USA Insurance Company, Inc. and 9 other insurers list Divya Madiraju 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 Divya Madiraju was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.