Omar Issa

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

28910 Issued in TX

Practice address

2831 W Parker Rd Ste 1
Plano, TX 75023-7936

Phone

(972) 931-9998

NPI assigned

Jun 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Delivery Systems of Maple Grove LLC

  dba Dental Associates of Maple Grove

  • General Practice Dentistry
  • Maple Grove, MN
  • NPI 1760272611
  NPD (past)
• Dental Delivery Systems, PA

  dba Dental Associates of Savage

  • General Practice Dentistry
  • Savage, MN
  • NPI 1003988122
  NPD (past)

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982830923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CRESCENT WAY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 W PARKER RD STE 1",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237936",
            "telephone_number": "972-931-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13899 Hwy 13 S",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553782135",
            "country_code": "US",
            "telephone_number": "952-440-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13899 Hwy 13 S",
            "address_purpose": "LOCATION",
            "city": "Savage",
            "state": "MN",
            "postal_code": "553782135",
            "country_code": "US",
            "telephone_number": "952-440-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSA",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12670",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "28910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameena Isa, MD
• Isaac Z Pugach MD PLLC (Complete Med Care)
• Susan Ishibashi
• Humaira Islam, MD
• Brady Scott Ismond
• It3 Medical LLC
• Saadie Itani, MS., RD., LD
• Ken Winston Cloma Itoh
• Selena Iturbe
• Debra K Iversen, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.