Active NPI
Jon T. Ricks, M.D., P.a.
- Obstetrics & Gynecology Physician
- Frisco, TX
National Provider Identifier
1316211394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J4478
- Legal business name
- JON T. RICKS, M.D., P.A.
- Practice address
- 5575 Frisco Square Blvd Ste 310
Frisco, TX 75034-3309 - Phone
- (972) 377-6800
- Fax
- (972) 668-6707
- NPI assigned
- Mar 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon T Ricks, M.D.
- Title
- Medical Director
- Phone
- (972) 377-6800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J4478 | TX | Primary |
Addresses
Primary practice location
5575 Frisco Square Blvd Ste 310
Frisco, TX 75034-3309
Mailing address
5575 Frisco Square Blvd Ste 310
Frisco, TX 75034-3309
Phone (972) 377-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096704402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5575 Warren Pkwy
Ste 316
Frisco, TX 75034
Phone (214) 387-0077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Frisco, TX
- NPI 1316938632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1316211394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 FRISCO SQUARE BLVD STE 310",
"city": "FRISCO",
"state": "TX",
"postal_code": "750343309",
"telephone_number": "972-377-6800",
"fax_number": "972-668-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 FRISCO SQUARE BLVD STE 310",
"city": "FRISCO",
"state": "TX",
"postal_code": "750343309",
"telephone_number": "972-377-6800",
"fax_number": "972-668-6707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON T. RICKS, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-08",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A",
"authorized_official_last_name": "RICKS",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "972-377-6800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J4478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096704402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.