Cecil C. Sandoval, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1452 Issued in NM

Practice address

601 Dalies Ave
Belen, NM 87002-3615

Phone

(505) 864-8912

Fax

(505) 864-2142

NPI assigned

May 2, 2013

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cecil C Sandoval DDS PA

  • Dentist
  • Belen, NM
  • NPI 1588663694
  NPD (past) Authorized official

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1891130951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DALIES AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023615",
            "telephone_number": "505-864-8912",
            "fax_number": "505-864-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DALIES AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023615",
            "telephone_number": "505-864-8912",
            "fax_number": "505-864-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "CECIL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "1452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Sanchez
• Roland Kent Sanchez II, D.D.S.
• Samuel Sanchez, CCSS
• Susan K. Sanchez, MSW
• Theresa Sanchez, PHARM.D.
• Janet Satriana, RPH
• Samantha Satriana
• Jeri Schmetterer, R.N.
• Jacque Schneider, RN
• Elizabeth Sesler, AGACNP

• General Practice Dentistry in Belen, NM
• Providers in Belen, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.