Organization Active NPI

Michael Issa DDS, Inc

Doing business as Smile Santa Maria Dental

  • Dental Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1780485573
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MICHAEL ISSA DDS, INC
Doing business as
Smile Santa Maria Dental
Practice address
2528 S Broadway Ste C
Santa Maria, CA 93454-7879
Phone
(805) 925-2628
Fax
(805) 925-2980
NPI assigned
Mar 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dr. Michael Issa, DDSNPI 1013639533
Title
Provider
Phone
(858) 262-3216

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
Dental Clinic/Center 261QD0000X 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

Other names 1

  • Smile Santa Maria Dental Doing business as

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": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1780485573",
    "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": {
        "organization_name": "MICHAEL ISSA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "858-262-3216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Santa Maria Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.