Alexander XL Hicks, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D-5515 Issued in ID

Practice address

7915 W Ustick Rd
Boise, ID 83704-5851

Phone

(208) 376-7599

NPI assigned

Jun 6, 2023

Sex

Male

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nampa, ID
  • NPI 1457309122
  Medicare reassignment NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boise, ID
  • NPI 1346254026
  NPD
• Community Health Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Middleton, ID
  • NPI 1962788315
  NPD
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Meridian, ID
  • NPI 1073001699

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Nampa, ID
  • NPI 1265979629

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Marsing, ID
  • NPI 1376058677

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Homedale, ID
  • NPI 1487668240

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Melba, ID
  • NPI 1518173962

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Caldwell, ID
  • NPI 1629445853

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Middleton, ID
  • NPI 1740566975

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Nampa, ID
  • NPI 1881602639

  General Practice

  NPD (past)
• Community Health Clinics, Inc.

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1891143491

  General Practice

  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1558055103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045851",
            "telephone_number": "208-376-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045851",
            "telephone_number": "208-376-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 N 36th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837035037",
            "country_code": "US",
            "telephone_number": "208-336-8801",
            "fax_number": "208-466-5359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "ALEXANDER",
        "middle_name": "XL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5515",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-5515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Davis Hickey
• John C Hickey, DC
• John T Hickey, RN
• Thomas Dennis Hickey, D.C.
• Rosa Hickman, NP
• Brandon Clark Hicks, O.D.
• Michelle L Hicks, NP
• Nathan Hicks, MD
• Sue Marie Hicks, LCSW, CADC III
• Angela Kay Hidalgo

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.