Roberto Mauricio Sandoval, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31337 Issued in TX

Practice address

8191 Southwest Fwy Ste 108
Houston, TX 77074-1700

Phone

(713) 485-4815

Fax

(713) 485-4389

NPI assigned

Aug 13, 2015

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sandoval Ayala LLC

  • General Practice Dentistry
  • Houston, TX
  • NPI 1134834518
  NPD Authorized official
• Mi Casa Dental

  • Dental Clinic/Center
  • Houston, TX
  • NPI 1669275640
  NPD (past)
• Mi Casa Dental

  • General Practice Dentistry
  • Houston, TX
  • NPI 1851521926
  NPD (past)

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1457727406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 SOUTHWEST FWY STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741700",
            "telephone_number": "713-485-4815",
            "fax_number": "713-485-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 SOUTHWEST FWY STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741700",
            "telephone_number": "713-485-4815",
            "fax_number": "713-485-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ROBERTO",
        "middle_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Michelle Sandoval
• Lucia Dorothy Sandoval, MD
• Marcelo Sandoval, M.D.,
• Norma Sandoval, LPC ASSOCIATE
• Roberto Sandoval, PT
• Rose Mary Sandoval
• Sandra Cornelius HCS
• Sandra K Jendi
• Sandra L. Hotz, PH.D., P.C.
• Sandra M Huete LLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Jun 12, 2024; 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.