Active NPI
Charles S. Ricks
Doing business as The Children's Dental Surgery Center
- Dental Clinic/Center
- Visalia, CA
National Provider Identifier
1669707279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 23135
- Legal business name
- CHARLES S. RICKS
- Doing business as
- The Children's Dental Surgery Center
- Practice address
- 136 Aspen Court
Suite B
Visalia, CA 93291 - Phone
- (559) 625-9300
- Fax
- (559) 624-1231
- NPI assigned
- Oct 15, 2009
- Last updated
- Nov 12, 2013
- 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
- Dr. Charles S Ricks, D.D.S.
- Title
- Owner
- Phone
- (559) 625-9300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 23135 | CA | Primary |
Addresses
Primary practice location
136 Aspen Court
Suite B
Visalia, CA 93291
Mailing address
136 S Aspen CT
Visalia, CA 93291-5175
Phone (559) 625-9300
Other names 1
- The Children's Dental Surgery Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Visalia, CA
- NPI 1740294412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384214400000",
"number": "1669707279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 S ASPEN CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915175",
"telephone_number": "559-625-9300",
"fax_number": "559-625-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 ASPEN COURT",
"address_2": "SUITE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "93291",
"telephone_number": "559-625-9300",
"fax_number": "559-624-1231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES S. RICKS",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2013-11-12",
"status": "A",
"authorized_official_last_name": "RICKS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-625-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "23135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Children's Dental Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.