Carol Sandoval, DDS
NPI 1255048310ActiveIndividual· Dentist· Redlands, CA
Dentist (DDS) in Redlands, California, licensed in PR and CA, with an NPI issued in October 2022. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1255048310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Oct 28, 2022 |
| Last updated in NPPES | Oct 14, 2025 |
| Certified by provider | Oct 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 3587 | PR |
| Dentist | 122300000X | 111195 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (PR) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Dentist |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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