Active NPI
Marshall S Humes DDS Anthony Pitrowski MD DMD Inc
- Oral and Maxillofacial Surgery (Dentist)
- Santa Maria, CA
National Provider Identifier
1104979707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 27297
- Legal business name
- MARSHALL S HUMES DDS ANTHONY PITROWSKI MD DMD INC
- Practice address
- 201 N College Dr
202
Santa Maria, CA 93454-4614 - Phone
- (805) 928-7611
- Fax
- (805) 349-8551
- NPI assigned
- Jan 19, 2007
- 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. Marshall Sheridan Humes, DDS
- Title
- President
- Phone
- (805) 928-7611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 27297 | CA | Primary |
Addresses
Primary practice location
201 N College Dr
202
Santa Maria, CA 93454-4614
Mailing address
201 N College Drive
Suite 202
Santa Maria, CA 93454
Phone (805) 928-7611
Other names 1
- Coastal Maxillofacial Group
National Provider Directory
National Provider Directory- Tax ID family
- Coastal Maxillofacial Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Santa Maria, CA
- NPI 1144374935
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Santa Maria, CA
- NPI 1427242676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184630400000",
"number": "1104979707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N COLLEGE DRIVE",
"address_2": "SUITE 202",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-928-7611",
"fax_number": "805-349-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N COLLEGE DR",
"address_2": "202",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544614",
"telephone_number": "805-928-7611",
"fax_number": "805-349-8551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL S HUMES DDS ANTHONY PITROWSKI MD DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-17",
"status": "A",
"authorized_official_last_name": "HUMES",
"authorized_official_first_name": "MARSHALL",
"authorized_official_middle_name": "SHERIDAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-928-7611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "27297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastal Maxillofacial Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.