Individual provider Active NPI

Jessika Dawn Rico, RDHAP

  • Advanced Practice Dental Therapist
  • Stockton, CA
National Provider Identifier
1649125105
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
1216 Issued in CA
Practice address
2819 W March LN Ste B6
Stockton, CA 95219-8211
Phone
(209) 351-6706
NPI assigned
Mar 2, 2026
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Dental Therapist 125K00000X 1216 CA Primary

Addresses

Primary practice location

2819 W March LN Ste B6
Stockton, CA 95219-8211

Mailing address

2819 W March LN Ste B6
Stockton, CA 95219-8211
Phone (209) 351-6706

Other practice location 1

808 N Center St
Stockton, CA 95202-1610
Phone (209) 351-6706

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

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1649125105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 W MARCH LN STE B6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952198211",
            "telephone_number": "209-351-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 W MARCH LN STE B6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952198211",
            "telephone_number": "209-351-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 N Center St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021610",
            "country_code": "US",
            "telephone_number": "209-351-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICO",
        "first_name": "JESSIKA",
        "middle_name": "DAWN",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.