Jeffrey Scott Rick, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE015305 Issued in MO

Practice address

10994 Historic Highway 165
Hollister, MO 65672-6234

Phone

(417) 335-4630

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Tri-Lakes Dental Center

  • Dental Clinic/Center
  • Hollister, MO
  • NPI 1639802309
  NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1851407928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10994 HISTORIC HIGHWAY 165",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726234",
            "telephone_number": "417-336-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10994 HISTORIC HIGHWAY 165",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656726234",
            "telephone_number": "417-335-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "DE015305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Neds, PT
• Courtney Notley, DDS
• Kerrie Nell Patton, P.T.
• Nezerae Rose Phillips, LMSW
• Plastic Surgery & Weight Loss CNTR
• Trevor B Rick, DDS
• Melonie Renee Roberts, FNP-BC
• Roller Enterprises LLC
• John Orville Roller, D.P.M.
• RPCS, Inc.

• General Practice Dentistry in Hollister, MO
• Providers in Hollister, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.