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SAMUEL HIMSTEDT DDS
NPI 1215865894
Dentist - General Practice in Clinton, MO

Active since May 12, 2026PECOS Enrolled
1800 COMMUNITY, CLINTON, MO 64735(844) 853-8937(660) 885-3690 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Himstedt Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL HIMSTEDT DDS (NPI 1215865894) is an individual general practice provider in Clinton, Missouri, licensed in Missouri (2026025422) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1215865894
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSAMUEL HIMSTEDTCredential: DDS
Location Address1800 COMMUNITYClinton, MO 64735-8804
Mailing Address1800 CommunityClinton, MO 64735-8804 · (844) 853-8937 · Fax (660) 885-3690
Phone(844) 853-8937
Fax(660) 885-3690
Sole ProprietorNo
Enumeration DateMay 12, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1215865894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2026025422
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1800 COMMUNITY, Clinton, MO 64735
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Other Names 1

Other Name (5)Sam Himstedt Dds

Secondary Practice Location 1

Location 110006 Grant Meadow LnSaint Louis, MO 63123-6279 · Phone (314) 489-7368

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Himstedt Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CHARLENE KAY ATKINS
Counselor (Professional)
1800 COMMUNITY
CLINTON, MO 64735
Henry County (844) 853-8937
LAWRENCE EDWARD REILLY PLPC
Counselor (Mental Health)
1800 COMMUNITY
CLINTON, MO 64735
Henry County (844) 853-8937
DENISE BRUCE
Registered Nurse
1800 COMMUNITY
CLINTON, MO 64735
Henry County (660) 647-9921
COMPASS HEALTH, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
1800 COMMUNITY
CLINTON, MO 64735
Henry County (660) 890-8186
CRYSTAL MCCULLOUGH DENTAL HYGIENIST
Dental Hygienist
1800 COMMUNITY
CLINTON, MO 64735
Henry County (888) 403-1071
SARAH ELIZABETH KLOS LCSW
Social Worker (Clinical)
1800 COMMUNITY
CLINTON, MO 64735
Henry County (844) 853-8937
COMPASS HEALTH, INC.
Community/Behavioral Health
1800 COMMUNITY
CLINTON, MO 64735
Henry County (660) 890-8186
CASEY LANDSBERG
Nurse Practitioner (Psychiatric/Mental Health)
1800 COMMUNITY
CLINTON, MO 64735
Henry County (844) 853-8937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Himstedt's NPI number?

The NPI number for Samuel Himstedt is 1215865894. It was assigned to this individual provider in the NPPES registry on May 12, 2026. The provider is also known as Sam Himstedt Dds.

Where is Samuel Himstedt located?

Samuel Himstedt practices at 1800 Community, Clinton, MO 64735. The listed phone number is (844) 853-8937.

What is Samuel Himstedt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Samuel Himstedt enrolled in Medicare?

Yes. Samuel Himstedt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Himstedt was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.