Organization Active NPI

Melanie Marshall, D.D.S., Inc.

  • Dentist
  • Valley Village, CA
National Provider Identifier
1376941906
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60562 Issued in CA
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

Updated by the provider on Mar 18, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.