Active NPI
Arlisha Bullard Hicks, DDS
- Pediatric Dentistry
- Katy, TX
National Provider Identifier
1578051884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 37258
- Practice address
- 24004 Porter Ranch LN Ste A4
Katy, TX 77493-8300 - Phone
- (713) 510-3022
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 37258 | TX | Primary |
Addresses
Primary practice location
24004 Porter Ranch LN Ste A4
Katy, TX 77493-8300
Mailing address
1209 Jasmine View LN
Katy, TX 77493-5213
Phone (832) 876-9713
Other names 1
- Ms. Arlisha Jasmine Bullard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37258 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlisha B Hicks, DDS, PLLC | Pediatric Dentistry | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Katy, TX
- NPI 1063244119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1578051884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 JASMINE VIEW LN",
"city": "KATY",
"state": "TX",
"postal_code": "774935213",
"telephone_number": "832-876-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24004 PORTER RANCH LN STE A4",
"city": "KATY",
"state": "TX",
"postal_code": "774938300",
"telephone_number": "713-510-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ARLISHA",
"middle_name": "BULLARD",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "37258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ARLISHA",
"last_name": "BULLARD",
"middle_name": "JASMINE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.