Individual provider Active NPI

Daniel Geoffrey Nolan, D.D.S.

  • General Practice Dentistry
  • Santa Maria, CA
National Provider Identifier
1326103359
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28966 Issued in CA
Practice address
2528 S Broadway Ste C
Santa Maria, CA 93454-7879
Phone
(805) 925-2628
Fax
(805) 925-2980
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28966 CA Primary

Addresses

Primary practice location

2528 S Broadway Ste C
Santa Maria, CA 93454-7879

Mailing address

2528 S Broadway Ste C
Santa Maria, CA 93454-7879
Phone (805) 925-2628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28966CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Issa DDS, Inc PastSince Mar 24, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniel.nolan.1@25900.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1326103359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 S BROADWAY STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547879",
            "telephone_number": "805-925-2628",
            "fax_number": "805-925-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 S BROADWAY STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547879",
            "telephone_number": "805-925-2628",
            "fax_number": "805-925-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "DANIEL",
        "middle_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.