NPIMap

Organization Active NPI

Marshall S Humes DDS & Anthony Pitrowski MD, DMD, Inc.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Santa Maria, CA
National Provider Identifier
1144374935
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
OM516 Issued in CA
Legal business name
MARSHALL S HUMES DDS & ANTHONY PITROWSKI MD, DMD, INC.
Doing business as
Coastal Maxillofacial Group
Practice address
201 N College Dr
Suite 202
Santa Maria, CA 93454-4614
Phone
(805) 928-7611
Fax
(805) 349-8551
NPI assigned
Jan 22, 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. Anthony Pitrowski, MD DMDNPI 1427242676
Title
Vice President
Phone
(805) 928-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X OM516 CA Primary

Addresses

Primary practice location

201 N College Dr
Suite 202
Santa Maria, CA 93454-4614

Mailing address

201 N College Dr
Suite 202
Santa Maria, CA 93454-4614
Phone (805) 928-7611

Other names 1

  • Coastal Maxillofacial Group Doing business as

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1144374935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR",
            "address_2": "SUITE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "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": "SUITE 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": "2007-01-22",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "PITROWSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "805-928-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "OM516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Maxillofacial Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.