Austin Bauldry, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

105140 Issued in CA

Practice address

7095 Douglas Blvd Ste a
Granite Bay, CA 95746-6299

Phone

(916) 677-1216

NPI assigned

Jul 31, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marina Milstein DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Granite Bay, CA
  • NPI 1093353401
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1548870942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 RAWHIDE LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479715",
            "telephone_number": "209-405-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 DOUGLAS BLVD STE A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466299",
            "telephone_number": "916-677-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAULDRY",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "105140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bauldrydds@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12918 Rose Marie Dr",
            "city": "Galt",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956328797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bibi Bahari
• Sandra Kay Baker, LCSW
• Sarah Barkve
• Jose Barrera
• Lauren Bashe
• Kelly Beckham, RN
• Amy Beeler
• Emily Belgarde
• Michael Thomas Benavidez
• Diane Bernino

• Orthodontics and Dentofacial Orthopedics Dentistry in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

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

Verify at the official NPI Registry.