Organization Active NPI

Charles S. Ricks

Doing business as The Children's Dental Surgery Center

  • Dental Clinic/Center
  • Visalia, CA
National Provider Identifier
1669707279
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23135 Issued in CA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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.NPI 1740294412
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.