Active NPI
Adam Dicks, DPM
- Foot & Ankle Surgery Podiatrist
- Spanish Fork, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 12044605-0501
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
743 N Main St
Spanish Fork, UT 84660-1146
Phone (385) 225-0961
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 38 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stoddard Foot & Ankle | Podiatrist | Current | Accepting new patients |
| Summit Medical Care | Current | Accepting new patients | |
| Soutwest Podiatry, P.C. | Podiatrist | Current | 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.
-
dba Summit Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Spanish Fork, UT
- NPI 1154059343
-
- Foot & Ankle Surgery Podiatrist
- Wytheville, VA
- NPI 1942256490
-
- Family Medicine Physician
- Provo, UT
- NPI 1881216646
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.