Denise Gayle Hicks, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9599 Issued in OR

Practice address

905 SW Rimrock Way Ste 201
Redmond, OR 97756-2569

Phone

(541) 526-5661

Fax

(541) 526-1441

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Hicks Dental Clinics LLC

  • Dental Clinic/Center
  • Redmond, OR
  • NPI 1932747581
  NPD Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1861780355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66855 FRYREAR RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039193",
            "telephone_number": "865-335-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SW RIMROCK WAY STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562569",
            "telephone_number": "541-526-5661",
            "fax_number": "541-526-1441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Highway 101",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "97439",
            "country_code": "US",
            "telephone_number": "888-468-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "DENISE",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500641734",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davina Herrera, LMT
• Collin Hester
• Doris J Hethcote, NP
• Jami Elizabeth Heyting, ND
• Hicks Dental Clinics LLC
• Max W Higbee, D.M.D.
• High Desert Eyecare
• High Desert Spine
• High Desert Women'S Care
• Highland Park Pharmacy LLC

• General Practice Dentistry in Redmond, OR
• Providers in Redmond, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.