Active NPI
William Miner Maguire Jr.
- Specialist
- Nevada City, CA
National Provider Identifier
1558781104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13143
- Practice address
- 145 Bost Ave
Nevada City, CA 95959-3249 - Phone
- (530) 265-9045
- Fax
- (530) 477-7977
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 13143 | CA | Primary |
Addresses
Primary practice location
145 Bost Ave
Nevada City, CA 95959-3249
Mailing address
145 Bost Ave
Nevada City, CA 95959-3249
Phone (530) 265-9045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13143 | Other | CA | CERTIFIED ADDICTION SPECIALIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1558781104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 BOST AVE",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959593249",
"telephone_number": "530-265-9045",
"fax_number": "530-477-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 BOST AVE",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959593249",
"telephone_number": "530-265-9045",
"fax_number": "530-477-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "WILLIAM",
"middle_name": "MINER",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "13143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ADDICTION SPECIALIST",
"identifier": "13143",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.