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Jared Michael Southwell, DMD

NPI 1689950503ActiveIndividual· Dentist· Joplin, MO

Dentist (DMD) in Joplin, Missouri, licensed in MO and NM, with an NPI issued in October 2011. Part D covered 127 prescriptions written in 2024, 94% of them generic.

Overview

NPI1689950503
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorYes
NPI issuedOct 24, 2011
Last updated in NPPESAug 1, 2025
Certified by providerAug 1, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X2025023621MO
Dentist122300000XDD3690NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)127 · 127 30-day fills
Patients74
Total drug cost$629.52
Generic share94% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Joplin

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