Individual provider Active NPI

Panagiota Sandoval, DDS

  • Pediatric Dentistry
  • Jonesboro, AR
National Provider Identifier
1467946434
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4872 Issued in AR
Practice address
1750 Hill Park Drive
Jonesboro, AR 72401
Phone
(573) 888-5936
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4872 AR Primary

Addresses

Primary practice location

1750 Hill Park Drive
Jonesboro, AR 72401

Mailing address

1750 Hill Park Drive
Jonesboro, AR 72401
Phone (573) 344-6047

Other practice location 1

3601 NW 107th Ave Fl 3
Doral, FL 33178-4377
Phone (305) 418-7771

Other practice location 2

13757 SW 152nd St
Miami, FL 33177-8125
Phone (305) 251-5390

Other practice location 3

500 Russell St
Kennett, MO 63857-2102
Phone (573) 717-1332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018017586MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicklaus Children'S Hospital CurrentSince Feb 2, 2025 Accepting new patients
Ola Pediatric Dentistry, PLLC Pediatric Dentistry Past Accepting new patients

Locations

3601 NW 107th Ave
Fl 3
Doral, FL 33178
Phone (305) 418-7771

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1467946434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HILL PARK DRIVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "573-344-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HILL PARK DRIVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "573-888-5936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 NW 107th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331784377",
            "country_code": "US",
            "telephone_number": "305-418-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13757 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331778125",
            "country_code": "US",
            "telephone_number": "305-251-5390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Russell St",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638572102",
            "country_code": "US",
            "telephone_number": "573-717-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "PANAGIOTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AR",
            "license": "4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.