Organization Active NPI

Jon T. Ricks, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Frisco, TX
National Provider Identifier
1316211394
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J4478 Issued in TX
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

Updated by the provider on Feb 15, 2023

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.NPI 1316938632
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
096704402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120619000069 TX Part B Supplier - Clinic/Group Practice 2961666276 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.