Jessica Mungle, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2021033138 Issued in MO

Practice address

4 Hickory Ridge Rd Ste 600
Hillsboro, MO 63050-5117

Phone

(844) 853-8937

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1295547180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HICKORY RIDGE RD STE 600",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505117",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGLE",
        "first_name": "JESSICA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2021033138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Micco
• Kelly Renee Moore, NP
• Heather Lynn Morgan, DO
• Rebecca Mueller
• Samantha Mueller
• Edward Jeffery Myles, D.O.
• Jason Allen Neal, PHARMD
• Nextstep for Life, Inc.
• Nancy Kay Nitsch, D.C., M.T.A.A.
• NN Holdings LLC

• Dental Hygienist in Hillsboro, MO
• Providers in Hillsboro, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.