Samuel Himstedt, DDS
NPI 1215865894ActiveIndividual· Dentist, General Practice· Clinton, MO
Dentist, General Practice (DDS) in Clinton, Missouri, trained at Univ of Missouri-Kansas City School of Dentistry (class of 2026). Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1215865894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | May 12, 2026 |
| Last updated in NPPES | Jun 9, 2026 |
| Certified by provider | Jun 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2026025422 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (MO) |
|---|
Education and affiliations
| Medical school | Univ of Missouri-Kansas City School of Dentistry |
|---|---|
| Graduation year | 2026 |
| Medicare specialty | Dentist |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Clinton
- 1972992162
- 1508505868
- 1356014963
- 1477884351
- 1174653406
- 1699847517
- 1467894972
- 1316506280
- 1609618842
- 1275539322
- 1942999230
- 1790353290