Individual provider Active NPI

Marina V Milstein, DDS, MSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Granite Bay, CA
National Provider Identifier
1366622532
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
46412 Issued in CA
Practice address
7095 Douglas Blvd
Suite a
Granite Bay, CA 95746
Phone
(916) 677-1216
Fax
(916) 248-0533
NPI assigned
Nov 5, 2007
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 46412 CA Primary

Addresses

Primary practice location

7095 Douglas Blvd
Suite a
Granite Bay, CA 95746

Mailing address

7095 Douglas Blvd
Suite a
Granite Bay, CA 95746
Phone (916) 677-1216

Other practice location 1

3130 Professional Dr Ste B
Auburn, CA 95603-2408
Phone (530) 883-1216

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

LicenseStateTypeSpecialty
46412CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marina Milstein DDS Inc Orthodontics and Dentofacial Orthopedics CurrentSince Dec 22, 2019 Accepting new patients

Locations

7095 Douglas Blvd
Ste A
Granite Bay, CA 95746
Phone (916) 273-7495

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.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1366622532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 DOUGLAS BLVD",
            "address_2": "SUITE A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "95746",
            "telephone_number": "916-677-1216",
            "fax_number": "916-248-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 DOUGLAS BLVD",
            "address_2": "SUITE A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "95746",
            "telephone_number": "916-677-1216",
            "fax_number": "916-248-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Professional Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956032408",
            "country_code": "US",
            "telephone_number": "530-883-1216",
            "fax_number": "916-248-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILSTEIN",
        "first_name": "MARINA",
        "middle_name": "V",
        "credential": "DDS, MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.