KELLI K KANEMARU-TAKEUCHI DDS
NPI 1255688933
Dentist - General Practice in Macclenny, FL

Q: What is Kelli Kanemaru-takeuchi's NPI number?

The NPI number for Kelli Kanemaru-takeuchi is 1255688933. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Q: What is Kelli Kanemaru-takeuchi's specialty?

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

Active since August 13, 2012PECOS Enrolled

480 W LOWDER ST, MACCLENNY, FL 32063(904) 259-6291(904) 259-1950 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelli K Kanemaru-takeuchi Dds NPPES

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

KELLI K KANEMARU-TAKEUCHI DDS (NPI 1255688933) is an individual general practice provider in Macclenny, Florida, licensed in Florida (HAD49) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255688933

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKELLI K KANEMARU-TAKEUCHICredential: DDS

Location Address480 W LOWDER STMacclenny, FL 32063-2664

Mailing Address480 W Lowder StMacclenny, FL 32063-2664 · (904) 259-6291 · Fax (904) 259-1950

Phone(904) 259-6291

Fax(904) 259-1950

Sole ProprietorNo

Enumeration DateAugust 13, 2012

✔ NPI 1255688933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · HAD49

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.

480 W LOWDER ST, Macclenny, FL 32063

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli K Kanemaru-takeuchi Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32063 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 13

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

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