Active NPI
Rachel Willis
- Dental Hygienist
- Greenfield, MO
National Provider Identifier
1336006337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2016019514
- Practice address
- 3 N State Highway 39
Greenfield, MO 65661-9401 - Phone
- (417) 637-5933
- NPI assigned
- Jan 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2016019514 | MO | Primary |
Addresses
Primary practice location
3 N State Highway 39
Greenfield, MO 65661-9401
Mailing address
PO Box 125
Hermitage, MO 65668-0125
Phone (417) 745-0103
Other practice location 1
18627 Jackson St
Hermitage, MO 65668-8204
Phone (417) 745-2134
Other practice location 2
203 E Broadway St
Bolivar, MO 65613-1623
Phone (417) 328-6334
Other practice location 3
201 W Smith Dr
Stockton, MO 65785-7620
Phone (417) 276-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016019514 | MO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Resource Group | Past | Accepting new patients | |
| Ozarks Resource Group | Past | Accepting new patients | |
| Ozarks Resource Group | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Greenfield, MO
- NPI 1033765045
-
- Federally Qualified Health Center (FQHC)
- Bolivar, MO
- NPI 1164897161
-
- Federally Qualified Health Center (FQHC)
- Urbana, MO
- NPI 1659942027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1336006337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 125",
"city": "HERMITAGE",
"state": "MO",
"postal_code": "656680125",
"telephone_number": "417-745-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 N STATE HIGHWAY 39",
"city": "GREENFIELD",
"state": "MO",
"postal_code": "656619401",
"telephone_number": "417-637-5933"
}
],
"practiceLocations": [
{
"address_1": "18627 Jackson St",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "MO",
"postal_code": "656688204",
"country_code": "US",
"telephone_number": "417-745-2134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "203 E Broadway St",
"address_purpose": "LOCATION",
"city": "Bolivar",
"state": "MO",
"postal_code": "656131623",
"country_code": "US",
"telephone_number": "417-328-6334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 W Smith Dr",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "MO",
"postal_code": "657857620",
"country_code": "US",
"telephone_number": "417-276-8884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2016019514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.