Active NPI
Maria Mikhaylishin, DDS
- Dentist
- Roseville, CA
National Provider Identifier
1386491827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111237
- Practice address
- 372 N Sunrise Ave Ste 200
Roseville, CA 95661-2812 - Phone
- (916) 839-3039
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111237 | CA | Primary |
Addresses
Primary practice location
372 N Sunrise Ave Ste 200
Roseville, CA 95661-2812
Mailing address
372 N Sunrise Ave Ste 200
Roseville, CA 95661-2812
Phone (916) 839-3039
Other practice location 1
1090 Sunrise Ave Ste 160
Roseville, CA 95661-4472
Phone (916) 772-2929
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1386491827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 N SUNRISE AVE STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612812",
"telephone_number": "916-839-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 N SUNRISE AVE STE 200",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612812",
"telephone_number": "916-839-3039"
}
],
"practiceLocations": [
{
"address_1": "1090 Sunrise Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956614472",
"country_code": "US",
"telephone_number": "916-772-2929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKHAYLISHIN",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.