JUSTIN SOUTHWARD DMD
NPI 1316468317
Dentist in Spokane, WA

Q: What is Justin Southward's NPI number?

The NPI number for Justin Southward is 1316468317. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Q: What is Justin Southward's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Southward was last updated on May 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2017PECOS Enrolled

3919 N MAPLE ST, SPOKANE, WA 99205(509) 444-8888 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2026, May 7, 2026, Sep 21, 2019 and 1 more (4 updates tracked since 2017).

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About Justin Southward Dmd NPPES

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

JUSTIN SOUTHWARD DMD (NPI 1316468317) is an individual dentist in Spokane, Washington, licensed in Washington (70062048) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316468317

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJUSTIN SOUTHWARDCredential: DMD

Location Address3919 N MAPLE STSpokane, WA 99205-1349

Mailing Address731 N Iron Bridge WaySpokane, WA 99202-4926 · (509) 444-8888

Phone(509) 444-8888

Sole ProprietorNo

Enumeration DateJune 29, 2017

Last NPPES UpdateMay 11, 20264 updates tracked since enumeration

NPPES CertifiedMay 11, 2026

✔ NPI 1316468317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in WA · 70062048✔ Licensed in IN · 12012755A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3919 N MAPLE ST, Spokane, WA 99205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Southward Dmd 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 99205 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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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.

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