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NPI 1104195064, an organization in SOUTH PORTLAND, ME 04106.

NPI
1104195064
Entity type
Organization (type 2)
Status
Active
Practice location
SOUTH PORTLAND, ME 04106
Enumerated
2011-12-22
Last updated
2011-12-22
Request
curl https://api.healthcare.dev/v1/providers/1104195064 \
  -H "Authorization: Bearer $HDEV_API_KEY"

NPPES

Taxonomy codes

  • 122300000X Primary
  • 122300000X

Codes from the Health Care Provider Taxonomy code set; their names belong to the NUCC and aren't shown here.

Official record

The CMS NPI Registry is the official source for this NPI: NPI 1104195064 in the NPI Registry.

Use it

Look up 1104195064 from code or an agent

curl
curl https://api.healthcare.dev/v1/providers/1104195064 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up NPI 1104195064. Tell me the provider's name, whether it is an individual or an organization, whether the NPI is active, its taxonomy codes and its practice city and state.
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Source: CMS NPPES file, release 2026-11. Public (FOIA-disclosable). Registry data as CMS publishes it, not a verification of credentials, licensure or enrollment.