JODY WICKS D.D.S.
NPI 1376698910
Dentist - General Practice in Reseda, CA

Active since January 24, 2007PECOS Enrolled
6915 RESEDA BLVD, SUITE 2, RESEDA, CA 91335(818) 881-8820(818) 881-8820 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jody Wicks D.d.s. NPPES

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

JODY WICKS D.D.S. (NPI 1376698910) is an individual general practice provider in Reseda, California, licensed in California (033685) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376698910
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJODY WICKSCredential: D.D.S.
Location Address6915 RESEDA BLVD, SUITE 2Reseda, CA 91335-4214
Mailing Address6915 Reseda Blvd, Suite 2Reseda, CA 91335-4214 · (818) 881-8820 · Fax (818) 881-8820
Fax(818) 881-8820
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376698910 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 · 033685
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.
6915 RESEDA BLVD, Reseda, CA 91335

Other Identifiers 1

Medicare ID-Type UnspecifiedB33685CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jody Wicks D.d.s. 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 91335 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 4

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

General Practice
6915 RESEDA BLVD, SUITE 1
RESEDA, CA 91335
Dentist
6915 RESEDA BLVD, SUITE 6
RESEDA, CA 91335
Dentist
6915 RESEDA BLVD, #3
RESEDA, CA 91335
Clinic/Center (Dental)
6915 RESEDA BLVD, SUITE 2
RESEDA, CA 91335

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 Jody Wicks's NPI number?

The NPI number for Jody Wicks is 1376698910. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jody Wicks located?

Jody Wicks practices at 6915 Reseda Blvd Suite 2, Reseda, CA 91335. The listed phone number is (818) 881-8820.

What is Jody Wicks's specialty?

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

Is Jody Wicks enrolled in Medicare?

Yes. Jody Wicks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jody Wicks was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.