DR. JOHN R LICKING DDS
NPI 1376524140
Dentist - General Practice in Los Altos, CA

Q: What is John Licking's NPI number?

The NPI number for John Licking is 1376524140. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is John Licking's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Licking was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2005PECOS Enrolled

730 ALTOS OAKS DR, LOS ALTOS, CA 94024(408) 736-6255(408) 736-6100 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John R Licking Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN R LICKING DDS (NPI 1376524140) is an individual general practice provider in Los Altos, California, licensed in California (21321) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376524140

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN R LICKINGCredential: DDS

Location Address730 ALTOS OAKS DRLos Altos, CA 94024-5401

Mailing Address730 Altos Oaks DrLos Altos, CA 94024-5401 · (408) 736-6255 · Fax (408) 736-6100

Phone(408) 736-6255

Fax(408) 736-6100

Sole ProprietorNo

Enumeration DateNovember 9, 2005

Last NPPES UpdateSeptember 10, 2024

NPPES CertifiedSeptember 10, 2024

✔ NPI 1376524140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 21321

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

730 ALTOS OAKS DR, Los Altos, CA 94024

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Other Identifiers 1

Other21321CA · Ca

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John R Licking Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREEFER PAIN RELIEF MEDICAL CORP

Clinic/Center (Pain)

730 ALTOS OAKS DR
LOS ALTOS, CA 94024

Santa Clara County (669) 667-2467

DR. CARY M BISHOP D.D.S.

Dentist (General Practice)

730 ALTOS OAKS DR
LOS ALTOS, CA 94024

Santa Clara County (650) 948-1002

DR. ROBERT C. CREASEY DDS

Dentist (General Practice)

730 ALTOS OAKS DR
LOS ALTOS, CA 94024

Santa Clara County (650) 948-1002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Licking's NPI number?

The NPI number for John Licking is 1376524140. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is John Licking located?

John Licking practices at 730 Altos Oaks Dr, Los Altos, CA 94024. The listed phone number is (408) 736-6255.

What is John Licking's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Licking enrolled in Medicare?

Yes. John Licking is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Licking was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.