Jeffrey Lynn Misner, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7399 Issued in NV

Practice address

314 W Fifth St
Carson City, NV 89703-4604

Phone

(775) 882-1111

Fax

(775) 882-1120

NPI assigned

Aug 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1780296368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W FIFTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034604",
            "telephone_number": "775-882-1111",
            "fax_number": "775-882-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W FIFTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034604",
            "telephone_number": "775-882-1111",
            "fax_number": "775-882-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISNER",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "ZE319828G",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kiddentalnv.com",
            "affiliation": "N",
            "endpointDescription": "Dental office",
            "address_1": "314 W Fifth St",
            "city": "Carson City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "897034604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Mills
• Heather Mills
• Karina Mills
• Chelsea Minifie, RD
• Joseph Mir, DDS
• Mission Hospice Services of Carson City LLC
• Darren L Mitchell, D.C.
• Tiffany Mitchell, NBC-HWC
• Engelbert Mittermayr, LPC, CRC, LCPC
• Renate Mize, REGISTERED NURSE

• Dentist in Carson City, NV
• Providers in Carson City, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.