Active NPI
Paul Matthew Cliney, RDH
- Dental Hygienist
- Port St Lucie, FL
National Provider Identifier
1306498316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 24381
- Practice address
- 1722 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2504 - Phone
- (772) 337-8600
- NPI assigned
- Jul 10, 2019
- Last updated
- Jul 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 24381 | FL | Primary |
Addresses
Primary practice location
1722 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-2504
Mailing address
14710 38TH PL NE
Lake Forest Park, WA 98155-7709
Phone (206) 335-3664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24381 | FL | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Dental of Port St Lucie West, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Port St Lucie, FL
- NPI 1205193539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1306498316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14710 38TH PL NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981557709",
"telephone_number": "206-335-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 SW SAINT LUCIE WEST BLVD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862504",
"telephone_number": "772-337-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINEY",
"first_name": "PAUL",
"middle_name": "MATTHEW",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "24381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.