Individual provider Active NPI

Jorge Anibal Laguna Sandoval, DMD

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1629819404
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42173 Issued in TX
Practice address
8611 Hillcrest Ave Ste 215
Dallas, TX 75225-4228
Phone
(214) 361-3550
NPI assigned
Jun 4, 2024
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7835 OK
General Practice Dentistry 1223G0001X 42173 TX Primary

Addresses

Primary practice location

8611 Hillcrest Ave Ste 215
Dallas, TX 75225-4228

Mailing address

8611 Hillcrest Ave Ste 215
Dallas, TX 75225-4228
Phone (214) 361-3550

Other practice location 1

7811 E 71st St Ste B
Tulsa, OK 74133-2992
Phone (918) 878-7803

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL website Direct Woodland Dentistry and Braces

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
7835OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Dentistry and Braces CurrentSince Jun 9, 2024 Accepting new patients

Locations

7811 E 71st St
Ste B
Tulsa, OK 74133
Phone (918) 878-7803

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.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1629819404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254228",
            "telephone_number": "214-361-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254228",
            "telephone_number": "214-361-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7811 E 71st St Ste B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741332992",
            "country_code": "US",
            "telephone_number": "918-878-7803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGUNA SANDOVAL",
        "first_name": "JORGE",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7835",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "website",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Woodland Dentistry and Braces",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7811 E 71st Street South",
            "address_2": "Ste B",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.