Active NPI
Matthew T. Ricks DO LLC
- Surgery Physician
- Saint Louis, MO
National Provider Identifier
1346650884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MATTHEW T. RICKS DO LLC
- Practice address
- 2355 Dougherty Ferry Rd
430
Saint Louis, MO 63122-3325 - Phone
- (314) 965-8410
- Fax
- (314) 965-8756
- NPI assigned
- May 6, 2014
- 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
- Matthew Ricks, DO
- Title
- Owner
- Phone
- (314) 965-8410
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2355 Dougherty Ferry Rd
430
Saint Louis, MO 63122-3325
Mailing address
2355 Dougherty Ferry Rd
430
Saint Louis, MO 63122-3325
Phone (314) 965-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Saint Louis, MO
- NPI 1902055296
-
- Surgery Physician
- Saint Louis, MO
- NPI 1043296494
-
- Physician Assistant
- Saint Louis, MO
- NPI 1831345859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1346650884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 DOUGHERTY FERRY RD",
"address_2": "430",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223325",
"telephone_number": "314-965-8410",
"fax_number": "314-965-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 DOUGHERTY FERRY RD",
"address_2": "430",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223325",
"telephone_number": "314-965-8410",
"fax_number": "314-965-8756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW T. RICKS DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-06",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "RICKS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-965-8410",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.