Active NPI
Megan Jenning Milder, DMD
- Oral and Maxillofacial Surgery (Dentist)
- San Diego, CA
National Provider Identifier
1679061980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DDS107476
- Practice address
- 2878 Camino del Rio S Ste 210
San Diego, CA 92108-3845 - Phone
- (619) 287-2200
- Fax
- (999) 999-9999
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS107476 | CA | Primary |
Addresses
Primary practice location
2878 Camino del Rio S Ste 210
San Diego, CA 92108-3845
Mailing address
2878 Camino del Rio S Ste 210
San Diego, CA 92108-3845
Phone (619) 287-2200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MMILDER@SOUTHCENTRALFOUNDATION.COM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS107476 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients |
Interoperability endpoints
- mmilder@southcentralfoundation.com
- mmilder@direct.scf.cc
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1679061980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2878 CAMINO DEL RIO S STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083845",
"telephone_number": "619-287-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2878 CAMINO DEL RIO S STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083845",
"telephone_number": "619-287-2200",
"fax_number": "999-999-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILDER",
"first_name": "MEGAN",
"middle_name": "JENNING",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "DDS107476",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MMILDER@SOUTHCENTRALFOUNDATION.COM",
"affiliation": "N",
"endpointDescription": "WORK EMAIL",
"address_1": "4341 Tudor Centre Dr",
"city": "Anchorage",
"state": "AK",
"country_code": "US",
"postal_code": "995085904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.