BRENT RICKS DPM
NPI 1457749939
Podiatrist - Foot & Ankle Surgery in Modesto, CA

Active since January 06, 2015
1601 MCHENRY VILLAGE WAY STE 3, MODESTO, CA 95350(209) 380-7760(209) 526-3908 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Ricks Dpm NPPES

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

BRENT RICKS DPM (NPI 1457749939) is a healthcare organization registered as a foot & ankle surgery in Modesto, California and active in the NPI registry since January 2015. The organization lists Brent C Ricks, Ceo/chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1457749939
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBRENT RICKS DPM
Location Address1601 MCHENRY VILLAGE WAY STE 3Modesto, CA 95350-4338
Mailing Address1601 Mchenry Village Way Ste 3Modesto, CA 95350-4338 · (209) 380-7760 · Fax (209) 526-3908
Fax(209) 526-3908
Organization SubpartNo
Authorized OfficialBrent C RicksCeo/chairman Of The Board · (209) 380-7760
Enumeration DateJanuary 6, 2015
NPI 1457749939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E5055
1601 MCHENRY VILLAGE WAY STE 3, Modesto, CA 95350

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Podiatrist
1601 MCHENRY VILLAGE WAY STE 3
MODESTO, CA 95350
Podiatrist (Foot & Ankle Surgery)
1601 MCHENRY VILLAGE WAY STE 3
MODESTO, CA 95350

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 Brent Ricks Dpm's NPI number?

The NPI number for Brent Ricks Dpm is 1457749939. It was assigned to this organization in the NPPES registry on January 6, 2015.

Where is Brent Ricks Dpm located?

Brent Ricks Dpm is located at 1601 Mchenry Village Way Ste 3, Modesto, CA 95350. The listed phone number is (209) 380-7760.

What is Brent Ricks Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Brent Ricks Dpm was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.