John R. Licking, DDS
NPI 1376524140ActiveIndividual· Dentist, General Practice· Los Altos, CA
Dentist, General Practice (DDS) in Los Altos, California, licensed in CA, with an NPI issued in November 2005. Part D covered 13 prescriptions written in 2024, 100% of them generic. Ultradent Products Inc reported $128.49 in payments in 2025, mostly gifts.
Overview
| NPI | 1376524140 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Nov 9, 2005 |
| Last updated in NPPES | Sep 10, 2024 |
| Certified by provider | Sep 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 21321 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 13 30-day fills |
|---|---|
| Total drug cost | $63.78 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$128.49 · 1 payment from 1 company
- 2024$312.95 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $128.49 | 1 |
What the 2025 payments were for
- Gift$128.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 33 general dentists in Los Altos · All general dentists in California