DR. BRENT CHRISTOPHER RICKS


Address: 1601 Mchenry Village Way Ste 3, Modesto, CA 95350-4338
Phone: 2093802884

DR. BRENT CHRISTOPHER RICKS (NPI# 1821309295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821309295
Entity Type Individual
Full Name DR. BRENT CHRISTOPHER RICKS
Credential DPM
Practice Address 1601 Mchenry Village Way Ste 3
Modesto
CA 95350-4338
Practice Telephone 2093802884
Practice Fax Number 2095263908
Mailing Telephone 2093802884
Mailing Fax Number 2095263908
Enumeration Date 2010-06-30
Last Update Date 2013-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
E 5055 CA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PTAN HH008A 01

Office Location

Street Address 1601 MCHENRY VILLAGE WAY STE 3
City MODESTO
State CA
Zip Code 95350-4338

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548291263 Marvin Daryle Ricks Podiatrist 1601 Mchenry Village Way Ste 3, Modesto, CA 95350-4338 2006-07-05
1457749939 Brent Ricks Dpm Podiatrist 1601 Mchenry Village Way Ste 3, Modesto, CA 95350-4338 2015-01-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
Find all providers in zip 95350

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861912438 Michael Medhat Daniel Podiatrist 1213 Coffee Rd Ste A, Modesto, CA 95355-4229 2017-06-23
1669797668 Christian Rand Tolboe Podiatrist 1401 Spanos Ct Ste 104, Modesto, CA 95355-2811 2010-04-01
1720041957 David I Wells Podiatrist 1541 Florida Ave Ste 103, Modesto, CA 95350-4438 2006-04-10
1124020102 H Rand Tolboe Podiatrist 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 2005-08-10
1255871125 Tolboe Foot & Ankle, Inc., A Podiatric Medical Corporation Podiatrist 1401 Spanos Court, Suite #104, Modesto, CA 95355-2811 2017-02-27
1689057572 David Paxton Podiatrist 1401 Spanos Ct Ste 104, Modesto, CA 95355 2015-07-09
1457749939 Brent Ricks Dpm Podiatrist 1601 Mchenry Village Way Ste 3, Modesto, CA 95350-4338 2015-01-06
1184047813 H. Rand Tolboe, D.p.m. Podiatrist 1401 Spanos Ct, Suite 104, Modesto, CA 95355-2810 2014-01-31
1790034320 Crystal Sheng-shan Hsu Podiatrist 1510 Florida Ave, Modesto, CA 95350-4437 2012-08-29
1336311760 Rajdeep K Sahota Podiatrist 2116 E Orangeburg Ave, Suite A, Modesto, CA 95355-3370 2008-03-26
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95350

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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