Active NPI
Trevor B Rick, DDS
- General Practice Dentistry
- Hollister, MO
National Provider Identifier
1588599336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2026026803
- Practice address
- 10994 Historic Highway 165 Ste a
Hollister, MO 65672-6234 - Phone
- (417) 335-4630
- NPI assigned
- Jun 15, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2026026803 | MO | Primary |
Addresses
Primary practice location
10994 Historic Highway 165 Ste a
Hollister, MO 65672-6234
Mailing address
10994 Historic Highway 165 Ste a
Hollister, MO 65672-6234
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Lakes Dental Center | Current | Accepting new patients | |
| Tri-Lakes Dental Center | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Hollister, MO
- NPI 1801755731
-
- Dental Clinic/Center
- Hollister, MO
- NPI 1902765837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1588599336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10994 HISTORIC HIGHWAY 165 STE A",
"city": "HOLLISTER",
"state": "MO",
"postal_code": "656726234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10994 HISTORIC HIGHWAY 165 STE A",
"city": "HOLLISTER",
"state": "MO",
"postal_code": "656726234",
"telephone_number": "417-335-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICK",
"first_name": "TREVOR",
"middle_name": "B",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2026026803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollister, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.