KRISTINE VINCENT CRUZ ANGELES DMD
NPI 1225697402
Dentist - General Practice in Sierra Vista, AZ

Q: What is Kristine Vincent Angeles's NPI number?

The NPI number for Kristine Vincent Angeles is 1225697402. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Q: What is Kristine Vincent Angeles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 11, 2019PECOS Enrolled

115 CALLE PORAL, SIERRA VISTA, AZ 85635(520) 459-3011(520) 364-4261 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kristine Vincent Cruz Angeles Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE VINCENT CRUZ ANGELES DMD (NPI 1225697402) is an individual general practice provider in Sierra Vista, Arizona, licensed in Arizona (D010393) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225697402

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKRISTINE VINCENT CRUZ ANGELESCredential: DMD

Location Address115 CALLE PORALSierra Vista, AZ 85635

Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-6852 · Fax (520) 364-4261

Phone(520) 459-3011

Fax(520) 364-4261

Sole ProprietorNo

Enumeration DateJune 11, 2019

✔ NPI 1225697402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · D010393

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

115 CALLE PORAL, Sierra Vista, AZ 85635

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Vincent Cruz Angeles Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kristine Vincent Angeles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salt River Pima-Maricopa Indian Community

161 mi

Community Health

10901 E MCDOWELL RD
Scottsdale, AZ 85256

Reassigned Medicare billing, Texas enrollment
147 clinicians in this Medicare group

NPI 1538583125 (480) 278-7742

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Vincent Angeles's NPI number?

The NPI number for Kristine Vincent Angeles is 1225697402. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Kristine Vincent Angeles located?

Kristine Vincent Angeles practices at 115 Calle Poral, Sierra Vista, AZ 85635. The listed phone number is (520) 459-3011.

What is Kristine Vincent Angeles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kristine Vincent Angeles enrolled in Medicare?

Yes. Kristine Vincent Angeles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristine Vincent Angeles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Vincent Angeles reassigns Medicare benefits to Salt River Pima-Maricopa Indian Community (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Vincent Angeles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristine Vincent Angeles was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.