Active NPI
Melanie Marshall, D.D.S., Inc.
- Dentist
- Valley Village, CA
National Provider Identifier
1376941906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60562
- Legal business name
- MELANIE MARSHALL, D.D.S., INC.
- Practice address
- 12137 Magnolia Blvd
Valley Village, CA 91607-2609 - Phone
- (818) 308-6024
- Fax
- (818) 308-7362
- NPI assigned
- Dec 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melanie Marshall, D.D.S.
- Title
- President
- Phone
- (909) 208-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60562 | CA | Primary |
Addresses
Primary practice location
12137 Magnolia Blvd
Valley Village, CA 91607-2609
Mailing address
12137 Magnolia Blvd
Valley Village, CA 91607-2609
Phone (818) 308-6024
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Valley Village, CA
- NPI 1497126353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1376941906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12137 MAGNOLIA BLVD",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916072609",
"telephone_number": "818-308-6024",
"fax_number": "818-308-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12137 MAGNOLIA BLVD",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916072609",
"telephone_number": "818-308-6024",
"fax_number": "818-308-7362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELANIE MARSHALL, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-14",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-208-8866",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "60562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.