Active NPI
Sandra Kay Alojado Tabangcora, DDS
- Dentist
- Fort Mohave, AZ
National Provider Identifier
1619604006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D011536
- Practice address
- 1501 E Camp Mohave Rd # 1
Fort Mohave, AZ 86426-9406 - Phone
- (928) 758-8887
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D011536 | AZ | Primary |
Addresses
Primary practice location
1501 E Camp Mohave Rd # 1
Fort Mohave, AZ 86426-9406
Mailing address
4747 S Mountain View Rd
Fort Mohave, AZ 86426-5405
Phone (972) 621-9754
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
| License | State | Type | Specialty |
|---|---|---|---|
| D011536 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Mohave Dental Care PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Fort Mohave, AZ
- NPI 1750556932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1619604006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 S MOUNTAIN VIEW RD",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864265405",
"telephone_number": "972-621-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E CAMP MOHAVE RD # 1",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864269406",
"telephone_number": "928-758-8887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABANGCORA",
"first_name": "SANDRA KAY",
"middle_name": "ALOJADO",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mohave, AZ
- Southwest Neurology P C
- Macy Joy Stevens
- Allen E Stout, DC, FNP
- Sunrise Wellness Solution PLLC
- Surgery Specialists at the River, PLLC
- Hanz K Tabora, P.T., DPT, FAAOMPT
- Tri-State Medical Alliance LLC
- Tri-State Medical Specialists LLC (Tristate Pain Institute)
- Tri-State Medical Specialists LLC (TriState Pain Institute)
- Tri-State Neuro-Spine Institute, P.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.