KELLI K KANEMARU-TAKEUCHI (NPI# 1255688933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255688933 |
| Entity Type | Individual |
| Full Name | KELLI K KANEMARU-TAKEUCHI |
| Credential | DDS |
| Practice Address |
480 W Lowder St Macclenny FL 32063-2664 |
| Practice Telephone | 9042596291 |
| Practice Fax Number | 9042591950 |
| Mailing Telephone | 9042596291 |
| Mailing Fax Number | 9042591950 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
HAD49 | FL | Dental Providers |
| Street Address |
480 W LOWDER ST |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669446357 | Whitney Ruth Taylor | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063 | 2006-02-17 |
| 1356811962 | Melody Miller Waites | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-27 |
| 1386113892 | Delaney Helms | Dental Hygienist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-14 |
| 1508140484 | Stephanie Melinda Crawford | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2011-10-10 |
| 1336469832 | Alanna D Eubanks | Dietitian, Registered | 480 W Lowder St, Macclenny, FL 32063-2664 | 2010-06-07 |
| 1245477181 | Rachel Mcmahan Thomas | Registered Nurse | 480 W Lowder St, Macclenny, FL 32063-2664 | 2009-01-14 |
| 1992993281 | Deborah L Griggs | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-10-11 |
| 1104961689 | Mary Robinson | Family Medicine | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-21 |
| 1215078506 | Phillip Wayne Steen | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-09 |
| 1720152192 | John Ellis Craig | Dentist | 480 W Lowder St, Macclenny, FL 32063-2664 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639202658 | Kathryn Ann Hackenberg Cardenas | Dentist | 546 S 5th St, Macclenny, FL 32063-2602 | 2007-03-13 |
| 1285760991 | George C. Weeks, Dds Pa | Dentist | 60 West Blvd, Macclenny, FL 32063-2070 | 2007-02-26 |
| 1063508208 | Derrick Gene Carter | Dentist | 571 S 6th St, Macclenny, FL 32063-2605 | 2006-10-05 |
| 1396840930 | Steven Douglas Mcclintock | Dentist | State Road 121 South, Macclenny, FL 32063 | 2006-09-14 |
| 1578917571 | Alexandra Erbesti | Dentist | 546 S 5th St, Macclenny, FL 32063-2602 | 2016-04-17 |
| 1972898047 | George C Weeks IIi | Dentist | 60 West Blvd, Macclenny, FL 32063-2070 | 2011-06-16 |
| 1497972541 | Margaret L. Romeo, D.m.d.,p.a. | Dentist | 546 S 5th St, Macclenny, FL 32063-2602 | 2007-04-19 |
| 1841417987 | Margaret L. Romeo | Dentist | 546 S 5th St, Macclenny, FL 32063-2602 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326843 | Stellar Smiles Inc. | Dentist | 1501 Corporate Dr Apt 311, Boynton Beach, FL 33426-6600 | 2020-11-07 |
| 1962003269 | Magic Touch Dentistry, P.a. | Dentist | 2 Oakwood Blvd Ste 150a, Hollywood, FL 33020-1960 | 2020-11-03 |
| 1982203584 | Crystel Ananos Riggs Dmd Pa | Dentist | 900 Se Ocean Blvd Ste 248, Stuart, FL 34994-3501 | 2020-10-23 |
| 1053910315 | Dental Buddies of Vero Beach | Dentist | 3755 7th Ter Ste 303, Vero Beach, FL 32960-6547 | 2020-10-19 |
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1073110177 | Coral Springs Dental Group, LLC | Dentist | 2029 N University Dr, Coral Springs, FL 33071-6132 | 2020-10-02 |
| 1316554686 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 15800 Orange Blvd, Loxahatchee, FL 33470-3442 | 2020-09-30 |
| 1861009136 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 5068 W State Road 46, Sanford, FL 32771-9246 | 2020-09-30 |
| 1003423922 | Aurora Dental Group, P.a | Dentist | 6176 Sw 8 Street, Miami, FL 33144 | 2020-09-24 |
| 1063029122 | Steven Gross | Dentist | 2021 Ne 210th St, Miami, FL 33179-1629 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLI K KANEMARU-TAKEUCHI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.