JONATHAN EDWARDS DDS
NPI 1497040497
Dentist in Cape Girardeau, MO

Q: What is Jonathan Edwards's NPI number?

The NPI number for Jonathan Edwards is 1497040497. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Q: What is Jonathan Edwards's specialty?

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

Q: Is Jonathan Edwards enrolled in Medicare?

No. Jonathan Edwards has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Edwards was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since June 17, 2011Opted out of Medicare · through Feb 1, 2028

408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 332-0808(573) 339-7945 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jonathan Edwards Dds NPPES

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

JONATHAN EDWARDS DDS (NPI 1497040497) is an individual dentist in Cape Girardeau, Missouri, licensed in Missouri (2011017532) and active in the NPI registry since June 2011. He has opted out of Medicare through February 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497040497

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJONATHAN EDWARDSCredential: DDS

Location Address408 S BROADVIEW STCape Girardeau, MO 63703-5725

Mailing Address408 S Broadview StCape Girardeau, MO 63703-5725 · (573) 332-0808 · Fax (573) 339-7945

Phone(573) 332-0808

Fax(573) 339-7945

Sole ProprietorNo

Enumeration DateJune 17, 2011

✔ NPI 1497040497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2011017532

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.

408 S BROADVIEW ST, Cape Girardeau, MO 63703

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jonathan Edwards Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2016 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2016

Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63703 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.

Leave this field empty

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.

CHARLENE L MINTON DMD

Dentist