Individual provider Active NPI

Victoria Elizabeth Sandoval, DMD

  • Pediatric Dentistry
  • Jacksonville, FL
National Provider Identifier
1497455786
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN28182 Issued in FL
Practice address
8355 Bayberry Rd
Jacksonville, FL 32256-4427
Phone
(904) 733-7254
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 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 DN28182 FL Primary

Addresses

Primary practice location

8355 Bayberry Rd
Jacksonville, FL 32256-4427

Mailing address

8355 Bayberry Rd
Jacksonville, FL 32256-4427
Phone (904) 733-7254

Other practice location 1

8903 Glades Rd Ste D4
Boca Raton, FL 33434-4023
Phone (561) 483-9334

Other practice location 2

5431 N University Dr Ste 102
Coral Springs, FL 33067-4639
Phone (954) 255-2787

Other practice location 3

2050 Saint Johns Pkwy Ste 103-104
St Johns, FL 32259-4592
Phone (904) 733-7254

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

Practice roles

OrganizationSpecialtyStatusNew patients
CL DDS 2 PA Pediatric Dentistry Past Accepting new patients
CL DDS 2 PA Pediatric Dentistry Past Accepting new patients

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1497455786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564427",
            "telephone_number": "904-733-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 BAYBERRY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564427",
            "telephone_number": "904-733-7254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8903 Glades Rd Ste D4",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334344023",
            "country_code": "US",
            "telephone_number": "561-483-9334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5431 N University Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330674639",
            "country_code": "US",
            "telephone_number": "954-255-2787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Saint Johns Pkwy Ste 103-104",
            "address_purpose": "LOCATION",
            "city": "St Johns",
            "state": "FL",
            "postal_code": "322594592",
            "country_code": "US",
            "telephone_number": "904-733-7254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "VICTORIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN28182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.