Excaliber

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

S99657387 Issued in MA

Legal business name

EXCALIBER

Practice address

9 Milner St
Ware, MA 01082-1527

Phone

(413) 209-2515

NPI assigned

Jan 25, 2016

Last updated

Jan 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Shover

Title

Owner

Phone

(413) 209-2515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1831556638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MILNER ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821527",
            "telephone_number": "413-209-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MILNER ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821527",
            "telephone_number": "413-209-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCALIBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "SHOVER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-209-2515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MA",
            "license": "S99657387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Dubois
• Brooke Taylor Dubois
• Kenneth Mitchell Duda, OD
• Rodegelio C Estrada, MD
• Carol Estridge
• Christine Fabel, CPNP
• Denise Finn-Rizzo, NP
• Lynn Fitzgerald
• Aubrey Louise Fountain, MSW
• Ann Garcia

• Private Vehicle in Ware, MA
• Providers in Ware, MA by specialty
• Private Vehicle in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.