Active NPI
Gary Ricketts, DDS
- Dentist
- Houston, TX
National Provider Identifier
1093822645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14561
- Practice address
- 5177 Richmond Ave
Ste 150 Longhorn Dental
Houston, TX 77056 - Phone
- (713) 960-9926
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14561 | TX | Primary |
Addresses
Primary practice location
5177 Richmond Ave
Ste 150 Longhorn Dental
Houston, TX 77056
Mailing address
7517 Cameron Road
Suite 107 Longhorn Dental Associates PC
Austin, TX 78752
Phone (512) 371-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14561 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093822645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 CAMERON ROAD",
"address_2": "SUITE 107 LONGHORN DENTAL ASSOCIATES PC",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78752",
"telephone_number": "512-371-1222",
"fax_number": "512-371-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5177 RICHMOND AVE",
"address_2": "STE 150 LONGHORN DENTAL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77056",
"telephone_number": "713-960-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKETTS",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.