SANDRA MARIA PEROZO VAZQUEZ
NPI 1386328862
Dentist - Periodontics in Tulsa, OK

Q: What is Sandra Perozo Vazquez's NPI number?

The NPI number for Sandra Perozo Vazquez is 1386328862. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Sandra Perozo Vazquez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Sandra Perozo Vazquez enrolled in Medicare?

No. Sandra Perozo Vazquez has opted out of Medicare through June 24, 2027. 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.

Active since June 14, 2023Opted out of Medicare · through Jun 24, 2027

9607 E 95TH CT S, TULSA, OK 74133(918) 288-0818 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sandra Maria Perozo Vazquez NPPES

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

SANDRA MARIA PEROZO VAZQUEZ (NPI 1386328862) is an individual periodontics provider in Tulsa, Oklahoma, licensed in Oklahoma (088) and active in the NPI registry since June 2023. She has opted out of Medicare through June 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386328862

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameSANDRA MARIA PEROZO VAZQUEZ

Location Address9607 E 95TH CT STulsa, OK 74133-5839

Mailing Address6689 E 129th St SBixby, OK 74008-2503 · (832) 991-2555

Phone(918) 288-0818

Sole ProprietorNo

Enumeration DateJune 14, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1386328862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in OK · 088

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

9607 E 95TH CT S, Tulsa, OK 74133

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sandra Maria Perozo Vazquez 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 June 24, 2025 through June 24, 2027.

Opt-Out Effective DateJune 24, 2025

Opt-Out In Effect ThroughJune 24, 2027Opt-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 74133 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TULSA DENTAL IMPLANTS AND PERIODONTICS

Clinic/Center (Dental)

9607 E 95TH CT S
TULSA, OK 74133

Tulsa County (918) 288-0818

DR. TRUNG THANH TRAN D.D.S.

Dentist

9607 E 95TH CT S
TULSA, OK 74133

Tulsa County (918) 288-0818

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 Sandra Perozo Vazquez's NPI number?

The NPI number for Sandra Perozo Vazquez is 1386328862. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Sandra Perozo Vazquez located?

Sandra Perozo Vazquez practices at 9607 E 95th Ct S, Tulsa, OK 74133. The listed phone number is (918) 288-0818.

What is Sandra Perozo Vazquez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Sandra Perozo Vazquez enrolled in Medicare?

No. Sandra Perozo Vazquez has opted out of Medicare through June 24, 2027. 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.

When was this NPI record last updated?

The NPPES record for Sandra Perozo Vazquez was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.