DR. GORDON MARVIN RICK DDS, MS
NPI 1679693550
Dentist - Oral and Maxillofacial Pathology in San Diego, CA
About Dr. Gordon Marvin Rick Dds, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GORDON MARVIN RICK DDS, MS (NPI 1679693550) is an individual oral and maxillofacial pathology provider in San Diego, California, licensed in California (20041) and active in the NPI registry since April 2007. He has opted out of Medicare through January 15, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Gordon Marvin Rick Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2014 through January 15, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92122
SAN DIEGO, CA 92122
SAN DIEGO, CA 92122
SAN DIEGO, CA 92122
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 Gordon Rick's NPI number?
The NPI number for Gordon Rick is 1679693550. It was assigned to this individual provider in the NPPES registry on April 2, 2007. The provider is also known as Dr. Gordon Rick.
Where is Gordon Rick located?
Gordon Rick practices at 5190 Governor Dr Suite 106, San Diego, CA 92122. The listed phone number is (858) 784-0600.
What is Gordon Rick's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.
Is Gordon Rick enrolled in Medicare?
No. Gordon Rick has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Gordon Rick was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Gordon Marvin Rick, DDS, MS · NPI 1679693550
Oral and Maxillofacial Pathology provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1679693550 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Pathology · taxonomy 1223P0106X
- **State license:** 20041 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5190 GOVERNOR DR, SUITE 106, San Diego, CA 92122-2847
- **Phone:** (858) 784-0600 · **Fax:** (858) 784-0604
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 15, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 14, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1679693550) · Data from the CMS NPPES public registry.