DR. CLAYTON GRAY HICKS SR. DMD
NPI 1710972898
Dentist - Pediatric Dentistry in Jbsa Lackland, TX

NPI Status: Active since September 15, 2005

Contact Information

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236
Phone: (210) 292-0748

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  • Individual
  • Male
  • Dentist
  • Pediatric Dentistry

About CLAYTON HICKS

This page provides the complete NPI Profile along with additional information for Clayton Hicks, a provider established in Jbsa Lackland, Texas with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1710972898 assigned on September 2005. The practitioner's primary taxonomy code is 1223P0221X with license number 3693 (SC). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1710972898
Provider Name
DR. CLAYTON GRAY HICKS SR. DMD
Gender
Male
Entity Type
Individual
Location Address
1100 WILFORD HALL LOOP BLDG 4554 JBSA LACKLAND, TX 78236
Location Phone
(210) 292-0748
Mailing Address
1100 WILFORD HALL LOOP BLDG 4554 JBSA LACKLAND, TX 78236
Is Sole Proprietor?
No
Enumeration Date
09-15-2005
Last Update Date
12-28-2020
Code Navigator

A dentist like Clayton Hicks is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
3693
License State
SC
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

3693 (SC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710972898
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201874818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 7 + 4 + 8 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1710972898 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ANDREW WAYNE LEWIS MD

Ophthalmology

(Glaucoma Specialist)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6583

DR. VICTOR C. CHANG MD

Family Medicine

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6225

DR. DAWN E KESSLER-WALKER PHD

Psychologist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-1159

DR. AMY NICHOLE BOUDIN AU.D.

Audiologist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 215-9200

DR. RODNEY M JORSTAD PHARMD

Pharmacist

(Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-3476

DR. REBECCA SMILEY BLACKWELL M.D.

Pediatrics

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6225

DR. CHARLES RICHARD ELCHERT JR. D.C.

Chiropractor

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-3587

DR. JAMES E SHIELDS PT, DPT, OCS

Physical Therapist

(Orthopedic)

1100 WILFORD HALL LOOP BLDG 4554
ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6625

DR. ANTHONY ISAAC ZARKA D.O.

Radiology

(Pediatric Radiology)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6225

DR. SAMANTHA TIMM PSYD

Psychologist

(Clinical)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-5968

LISA MARIE BADER MSW

Social Worker

(Clinical)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6225

MATTHEW TALBOT WILLIAMS D.C.

Chiropractor

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6717

DR. TIBEBU MEKONNEN TSEGGA D.D.S.

Dentist

(Oral and Maxillofacial Surgery)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(615) 668-3322

DAVID PAUL ARMSTRONG D.O.

Family Medicine

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-4800

DR. VINITA VIJAY NAIR MD

Pediatrics

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6225

DR. TIMOTHY EDWARD ROGERS

Psychologist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-3905

MRS. SHARON MONICA QUIGLEY NP

Nurse Practitioner

(Family)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-0134

SEAN PATRICK MEAGHER M.D.

Pediatrics

(Developmental - Behavioral Pediatrics)

1100 WILFORD HALL LOOP BLDG 4554
ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX
ZIP 78236

(210) 292-5648

DR. GARRY SCOTT MOORE MD

Preventive Medicine

(Aerospace Medicine)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-9556

DR. SCOTT WARREN MONROE MD

Family Medicine

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236

(210) 292-6225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710972898, enumerated as an "individual" on September 15, 2005.

The provider is located at 1100 WILFORD HALL LOOP BLDG 4554 JBSA LACKLAND, TX 78236 and the phone number is (210) 292-0748.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.