Organization Active NPI

Marshall S Humes DDS Anthony Pitrowski MD DMD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Maria, CA
National Provider Identifier
1104979707
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
27297 Issued in CA
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

Updated by the provider on Jul 17, 2007

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Coastal Maxillofacial Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "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.

Verify at the official NPI Registry.