Organization Active NPI

Michael W Marshall DDS. Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington Beach, CA
National Provider Identifier
1801107776
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
32586 Issued in CA
Legal business name
MICHAEL W MARSHALL DDS. INC
Practice address
7677 Center Ave
Suite 206
Huntington Beach, CA 92647-3074
Phone
(714) 766-6560
Fax
(714) 766-6563
NPI assigned
Jun 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jackie N Smith
Title
Office Manager
Phone
(714) 766-6560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 32586 CA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 59337 CA

Addresses

Primary practice location

7677 Center Ave
Suite 206
Huntington Beach, CA 92647-3074

Mailing address

7677 Center Ave
Suite 206
Huntington Beach, CA 92647-3074
Phone (714) 766-6560

Other names 1

  • Huntington Beach Oral & Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1801107776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE",
            "address_2": "SUITE 206",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473074",
            "telephone_number": "714-766-6560",
            "fax_number": "714-766-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE",
            "address_2": "SUITE 206",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473074",
            "telephone_number": "714-766-6560",
            "fax_number": "714-766-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W MARSHALL DDS. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-766-6560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "32586",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "59337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Beach Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.