Individual provider Active NPI

Adam Dicks, DPM

  • Foot & Ankle Surgery Podiatrist
  • Spanish Fork, UT
National Provider Identifier
1780047936
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
12044605-0501 Issued in UT
Practice address
743 N Main St
Spanish Fork, UT 84660-1146
Phone
(385) 225-0961
Fax
(385) 448-5058
NPI assigned
Apr 4, 2016
Last updated
May 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 12044605-0501 UT Primary

Addresses

Primary practice location

743 N Main St
Spanish Fork, UT 84660-1146

Mailing address

PO Box 540610
N Salt Lake, UT 84054-0610
Phone (801) 505-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191010002228 VA Practitioner - Podiatry 0042541740 Reassigns benefits to 1 organization
I20210220000107 UT Practitioner - Podiatry 0042541740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stoddard Foot and AnkleGroup PAC ID 6103292487, 2 clinicians

Practice addresses (Care Compare)

743 N Main St
Spanish Fork, UT 84660-1146
Phone (385) 225-0961

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue38
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stoddard Foot & Ankle Podiatrist CurrentSince May 1, 2024 Accepting new patients
Summit Medical Care CurrentSince Mar 1, 2022 Accepting new patients
Soutwest Podiatry, P.C. Podiatrist CurrentSince Sep 1, 2019 Accepting new patients

Locations

777 N 500 W
Ste 103
Provo, UT 84601
Phone (801) 375-6677

12523 S Creek Meadow Rd
Ste 105
Riverton, UT 84065
Phone (801) 337-5855

4019 W 12600 S
Ste 120
Riverton, UT 84096
Phone (801) 273-0100

9980 S 300 W
Ste 310
Sandy, UT 84070
Phone 8012536886300

336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246

743 N Main St
Spanish Fork, UT 84660
Phone (385) 225-0961

2019 E Riverside Dr
Ste A101
St George, UT 84790
Phone (435) 656-1699

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

680 W Monroe St
Wytheville, VA 24382
Phone (276) 228-2212

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1780047936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540610",
            "city": "N SALT LAKE",
            "state": "UT",
            "postal_code": "840540610",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601146",
            "telephone_number": "385-225-0961",
            "fax_number": "385-448-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKS",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "12044605-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.