Misty M Short Cline, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401412415 Issued in VA

Practice address

517 Tazewell Ave
Bluefield, VA 24605-1724

Phone

(276) 322-7568

Fax

(276) 322-7269

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Misty M Cline Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cline Family Dentistry, PLLC

  • General Practice Dentistry
  • Bluefield, VA
  • NPI 1730771890
  NPD
• Steven D Lutz DDS, P.C.

  • General Practice Dentistry
  • Tazewell, VA
  • NPI 1578658464
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1366600850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 TAZEWELL AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051724",
            "telephone_number": "276-322-7568",
            "fax_number": "276-322-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 TAZEWELL AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051724",
            "telephone_number": "276-322-7568",
            "fax_number": "276-322-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT CLINE",
        "first_name": "MISTY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3816",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012047",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366600850",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "CLINE",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.