Individual provider Active NPI

Paula Andrea Echeverry Sandoval, DDS

  • General Practice Dentistry
  • Roxboro, NC
National Provider Identifier
1326512575
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14319 Issued in NC
Practice address
441 S Morgan St
Roxboro, NC 27573-5123
Phone
(336) 599-6641
Fax
(336) 599-7182
NPI assigned
Jan 21, 2019
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109493 CA
General Practice Dentistry 1223G0001X 14319 NC Primary

Addresses

Primary practice location

441 S Morgan St
Roxboro, NC 27573-5123

Mailing address

441 S Morgan St
Roxboro, NC 27573-5123
Phone (336) 599-6641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240524002507 CA Order and Referring Only - DentistPractitioner - Dentist 2365884194
I20250915004204 NC Order and Referring Only - DentistPractitioner - Dentist 2365884194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109493CAMDDentist
14319NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates Xlviii DDS PA Dentist CurrentSince Aug 17, 2025 Accepting new patients
Bayliff Family Dentistry Dentist PastSince Aug 17, 2025 Accepting new patients

Locations

441 S Morgan St
Roxboro, NC 27573
Phone (336) 599-6640

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1326512575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S MORGAN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735123",
            "telephone_number": "336-599-6641",
            "fax_number": "336-599-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S MORGAN ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735123",
            "telephone_number": "336-599-6641",
            "fax_number": "336-599-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRY SANDOVAL",
        "first_name": "PAULA",
        "middle_name": "ANDREA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109493",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.