Organization Active NPI

Ismilespa, Inc.

  • Dentist
  • Santa Cruz, CA
National Provider Identifier
1730534355
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62157 Issued in CA
Legal business name
ISMILESPA, INC.
Practice address
3337 Mission Dr
Santa Cruz, CA 95065-1827
Phone
(831) 462-6500
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Michael MalekNPI 1881815942
Title
President
Phone
(831) 462-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 62157 CA Primary

Addresses

Primary practice location

3337 Mission Dr
Santa Cruz, CA 95065-1827

Mailing address

3337 Mission Dr
Santa Cruz, CA 95065-1827
Phone (831) 462-6500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1730534355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 MISSION DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651827",
            "telephone_number": "831-462-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 MISSION DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651827",
            "telephone_number": "831-462-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILESPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-462-6500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.