Lolita Hicks, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14484 Issued in MN

Practice address

1290 Salem Rd SW Ste 10
Rochester, MN 55902-4210

Phone

(979) 220-6972

NPI assigned

Sep 3, 2020

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

Practice roles

Interoperability endpoints

• Direct secure messaging: lhicks593610@direct.ochin.org

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.

• Cedar Riverside People'S Center

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1871809152

  General Practice

  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1164036422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 OLD SCHOOL RD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641674",
            "telephone_number": "979-220-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 SALEM RD SW STE 10",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024210",
            "telephone_number": "979-220-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "LOLITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14484",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Churchill Hickox, DNP, APRN, AGCNS-BC
• Vandela H Hicks-Scherer, CRNA
• Drew Charles Hicks
• James Scott Hicks, LAC
• Kaitlyn Amber Hicks, MT-BC
• Krystin Alane Hidden, M.D.
• Hiddo Home Health Care LLC
• Tina J Hieken, M.D.
• Megan Hietala, MT-BC
• Alexandra Higgins

• Dentist in Rochester, MN
• Providers in Rochester, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.