Dr John R Licking, DDS in Los Altos, CA - Medicare Dentist Provider

Dr John R Licking, DDS is a medicare enrolled "Dentist - General Practice" provider in Los Altos, California. His current practice location is 730 Altos Oaks Dr, Los Altos, California. You can reach out to his office (for appointments etc.) via phone at (408) 736-6255.

Dr John R Licking is licensed to practice in California (license number 21321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376524140.

Contact Information

	Dr John R Licking, DDS
	730 Altos Oaks Dr, Los Altos, CA 94024-5401
	(408) 736-6255
	(408) 736-6100

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John R Licking
Gender	Male
Speciality	Dentist - General Practice
Location	730 Altos Oaks Dr, Los Altos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376524140
Provider Enumeration Date: 11/09/2005
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0345554549
Enrollment ID: I20150731016489

Medical Identifiers

Medical identifiers for Dr John R Licking such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376524140	NPI	-	NPPES
21321	Other	CA	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	21321 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John R Licking is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr John R Licking, DDS 730 Altos Oaks Dr, Los Altos, CA 94024-5401 Ph: (408) 736-6255	Dr John R Licking, DDS 730 Altos Oaks Dr, Los Altos, CA 94024-5401 Ph: (408) 736-6255

Reviews and Comments

Dentist in Los Altos, CA

Dr. Kevin Brewster Sawyer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 646 Los Altos Rancho, Los Altos, CA 94024 Phone: 650-948-5355 Fax: 650-948-5826
Joseph Field, Dentist Medicare: Not Enrolled in Medicare Practice Location: 99 3rd St, Los Altos, CA 94022 Phone: 650-948-5524 Fax: 650-948-1887
Dr. Irene Ching-ping Tan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 851 Fremont Ave, Suite 101, Los Altos, CA 94024 Phone: 650-559-9801 Fax: 650-559-9803
Dr. Amy Belinda Guthrie, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 746 Altos Oaks Dr, Los Altos, CA 94024 Phone: 650-323-2138
Dr. Curtis Ken Miyahara, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 129 Second Street, Los Altos, CA 94022 Phone: 650-948-1183 Fax: 650-948-6830
Dr. Jeffrey Brent Beagle, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 826 Altos Oaks Dr # 2, Los Altos, CA 94024 Phone: 650-948-8400 Fax: 650-948-4827
Dr. James A Keats, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4906 El Camino Real, Los Altos, CA 94022 Phone: 650-960-0156 Fax: 650-960-1248

Dr John R Licking, DDS - Medicare Dentist in Los Altos, CA