Brent Ricks DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5055 Issued in CA

Legal business name

BRENT RICKS DPM

Practice address

1601 McHenry Village Way Ste 3
Modesto, CA 95350-4338

Phone

(209) 380-7760

Fax

(209) 526-3908

NPI assigned

Jan 6, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brent C Ricks, DPM

Title

Ceo/Chairman of the Board

Phone

(209) 380-7760

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin Daryle Ricks, DPM

  • Podiatrist
  • Modesto, CA
  • NPI 1548291263
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1457749939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MCHENRY VILLAGE WAY STE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504338",
            "telephone_number": "209-380-7760",
            "fax_number": "209-526-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MCHENRY VILLAGE WAY STE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504338",
            "telephone_number": "209-380-7760",
            "fax_number": "209-526-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT RICKS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "209-380-7760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Brenda
• Jasmine Fatima Brenes
• Mary Faye Brennan
• Philip Brenner, PHARMD
• Brent a Hill Chiropractic Inc
• Rebecca Michelle Bresnyan
• Amanda Renee' Brewer, D.D.S.
• Dean Justin Brewer, D.D.S.
• Keith Dean Brewer, D.D.S.
• Michael Lloyd Brewer, CADC II, ICADC

• Foot & Ankle Surgery Podiatrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.