John R Licking, DDS
General Practice · Los Altos
- Medicare standing
- 2 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- California licence: Non-Completion of Probation
- 1 Medical Board action on record
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Licking’s office at (408) 736-6255 to ask if they take your plan before you enroll.
California Medical Board record
Licence C21321 · Cancelled
Licence status: Cancelled · since 1959 · University of Illinois College of Medicine. Board flags: Non-Completion of Probation.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
Public record actions
| 1993-02-25 | Board disciplineDiscipline | Five years probation with various terms and conditions and ninety (90) days actual suspension. suspension begins 02/25/93 until 05/26/93. · 16 1991014492 |
Money from drug and device companies
$128 in 2025
| 2025 | 1 | 1 | None | $128 |
| 2024 | 1 | 4 | None | $313 |
| 2020 | 1 | 1 | None | $15 |
| 2019 | 1 | 3 | None | $83 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Ultradent Products | Opalescence | $128 | 1 payment
|
See the published payment
| Ultradent Products | Gift · 2025-01-13 | Opalescence | $128 |
See earlier years (2024, 2020, 2019)
2024: $313
| Ultradent Products | Opalescence | $313 | 4 payments
|
2020: $15
| Align Technology | Invisalign | $15 | 1 payment
|
2019: $83
| Align Technology | Invisalign | $83 | 3 payments
|
Professional record
- NPI
- 1376524140
- Licence
- CA 21321California C21321: Cancelled
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 1223G0001X (1223G0001X)
- Mailing address
- 730 Altos Oaks Dr, Los Altos, CA, 94024
- NPI first listed
- 2005-11-09
- NPI last updated
- 2024-09-10
- NPI record certified
- 2024-09-10
This is when the NPI record was last certified, not a medical board exam.