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Dr. Jared Ricks , DDS

Dentist - Pediatric Dentistry β€’ Katy, TX

Active NPI 1679109516 Individual Practitioner Male Practitioner
Practice location in NPPES

23302 W Fernhurst Dr # 200
Katy, TX 774941742

Call 8325592370 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

23302 W Fernhurst Dr # 200

Katy, TX 774941742

Telephone 8325592370
Organization at the Same NPPES Address or Phone
Adeel A. Khan, Dmd, Pllc Facility NPI 1184178972

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Diego, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Katy and Texas

16 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Katy, TX (1,019 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Katy

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-18
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES TX 38132

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

3020 Childrens Way

San Diego, CA 921234223

Phone: 8585761700

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 18, 2023

Registered at 23302 W FERNHURST DR # 200, KATY, TX 774941742 (Tel: 8325592370)

πŸ“
Updated Business Mailing Address January 18, 2023

Registered at 23302 W FERNHURST DR # 200, KATY, TX 774941742 (Tel: 8325592370)

πŸ‘€
Provider Name / Credentials Updated January 18, 2023

Recorded as JARED RICKS, DDS

πŸ“
Updated Business Mailing Address June 13, 2022

Registered at 3020 CHILDRENS WAY, SAN DIEGO, CA 921234223

βœ…
NPI Profile Active March 22, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 22, 2020

Registered at 3020 CHILDRENS WAY, SAN DIEGO, CA 921234223 (Tel: 8585761700)

πŸ“
Business Mailing Address (Initial Record) March 22, 2020

Registered at 2908 ROYAL DR, KILGORE, TX 756623029 (Tel: 9038080281)

πŸ‘€
Provider Name / Credentials (Initial Record) March 22, 2020

Recorded as JARED RICKS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 22, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679109516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2020
Last Update: January 18, 2023
Sole Proprietor: Yes

Mailing Address

23302 W Fernhurst Dr # 200

Katy, TX 774941742

Phone: 8325592370

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.