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DR. TORI SANDOVAL D.M.D.
NPI 1275753626
Dentist in Kingman, AZ

Active since April 26, 2007Opted out of Medicare · through Jan 18, 2028
2535 HUALAPAI MOUNTAIN RD STE E, KINGMAN, AZ 86401(928) 718-2525(928) 718-7127 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tori Sandoval D.m.d. NPPES

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

DR. TORI SANDOVAL D.M.D. (NPI 1275753626) is an individual dentist in Kingman, Arizona, licensed in Arizona (D7009) and active in the NPI registry since April 2007. She has opted out of Medicare through January 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275753626
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. TORI SANDOVALCredential: D.M.D.
Location Address2535 HUALAPAI MOUNTAIN RD STE EKingman, AZ 86401-5412
Mailing Address2535 Hualapai Mountain Rd, Ste EKingman, AZ 86401-5412 · (928) 718-2525 · Fax (928) 718-7127
Phone(928) 718-2525
Fax(928) 718-7127
Sole ProprietorYes
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 27, 2008
✔ NPI 1275753626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D7009
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2535 HUALAPAI MOUNTAIN RD STE E, Kingman, AZ 86401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Tori Sandoval D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2016 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2016
Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86401 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 Tori Sandoval's NPI number?

The NPI number for Tori Sandoval is 1275753626. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Tori Sandoval located?

Tori Sandoval practices at 2535 Hualapai Mountain Rd Ste E, Kingman, AZ 86401. The listed phone number is (928) 718-2525.

What is Tori Sandoval's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tori Sandoval enrolled in Medicare?

No. Tori Sandoval has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tori Sandoval accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 11 other insurers list Tori Sandoval as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tori Sandoval was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.