Patricia Sandoval, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21491 Issued in TX

Practice address

611 N Bryan Rd
Mission, TX 78572-6285

Phone

(956) 580-3303

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Nuestra Clinica del Valle, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Juan, TX
  • NPI 1053728360
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1013057256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726285",
            "telephone_number": "956-580-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "PATRICIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Sanchez
• Romeo Sanchez Jr.
• Yaled Sanchez
• Lory Crystal Sandoval, D.P.C, L.P.C
• Monica G Sandoval, SLPA
• Ruby Sandoval
• Juan A Santoyo
• Ajithraj Sathiyaraj, MD
• Abigail Sauceda
• Saucedo Family Clinic PLLC

• General Practice Dentistry in Mission, TX
• Providers in Mission, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.