Active NPI
Philip Maurin Smith, DDS, DMD
- Periodontics
- Santa Barbara, CA
National Provider Identifier
1093650830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DZ22287
- Practice address
- 122 S Patterson Ave Ste 202
Santa Barbara, CA 93111-4019 - Phone
- (805) 964-8804
- Fax
- (805) 687-6022
- NPI assigned
- Apr 20, 2026
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DZ22287 | CA | Primary |
Addresses
Primary practice location
122 S Patterson Ave Ste 202
Santa Barbara, CA 93111-4019
Mailing address
122 S Patterson Ave Ste 202
Santa Barbara, CA 93111-4019
Phone (805) 964-8804
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DZ22287 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1093650830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 S PATTERSON AVE STE 202",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931114019",
"telephone_number": "805-964-8804",
"fax_number": "805-687-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 S PATTERSON AVE STE 202",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931114019",
"telephone_number": "805-964-8804",
"fax_number": "805-687-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "PHILIP",
"middle_name": "MAURIN",
"name_prefix": "Dr.",
"credential": "DDS, DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "DZ22287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.