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KENNETH ANDUJAR DDS
NPI 1538802673
Dentist - General Practice in Wauchula, FL

Active since April 17, 2022PECOS Enrolled
807 COBB CT, WAUCHULA, FL 33873(866) 234-8534 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 21, 2023, Apr 13, 2023, Apr 17, 2022 (3 updates tracked since 2022).

About Kenneth Andujar Dds NPPES

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

KENNETH ANDUJAR DDS (NPI 1538802673) is an individual general practice provider in Wauchula, Florida, licensed in Florida (DN27575) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1538802673
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH ANDUJARCredential: DDS
Location Address807 COBB CTWauchula, FL 33873-3161
Mailing Address47 5th St NwWinter Haven, FL 33881-4672 · (866) 234-8534
Phone(866) 234-8534
Sole ProprietorNo
Enumeration DateApril 17, 2022
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1538802673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN27575
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
807 COBB CT, Wauchula, FL 33873
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Secondary Practice Location 1

Location 1237 3rd Ave Apt 6New York, NY 10003-2534 · Phone (407) 223-0874

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield 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)

Kenneth Andujar 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 33873 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 7

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

EVAN MAE LLUPAR LACHICA
Nurse Practitioner (Family)
807 COBB CT
WAUCHULA, FL 33873
Hardee County (866) 234-8534
JENNIFER MARIE WARRAS APRN-FNP-C
Nurse Practitioner (Family)
807 COBB CT
WAUCHULA, FL 33873
Hardee County (866) 234-8534
DR. SANGCHAN CHEAN IANLENG
Dentist
807 COBB CT
WAUCHULA, FL 33873
Hardee County (866) 234-8534
CHRISTY A MERRICK ARNP
Nurse Practitioner (Adult Health)
807 COBB CT
WAUCHULA, FL 33873
Hardee County (866) 234-8534
ESPERANZA MARIA QUEZADA ARNP
Nurse Practitioner (Pediatrics)
807 COBB CT
WAUCHULA, FL 33873
Hardee County (866) 234-8534
CENTRAL FLORIDA HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
807 COBB CT
WAUCHULA, FL 33873
Hardee County (866) 234-8534
AJIT K. BRAR MD
Family Medicine
807 COBB CT
WAUCHULA, FL 33873
Hardee County (866) 234-8534

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 Kenneth Andujar's NPI number?

The NPI number for Kenneth Andujar is 1538802673. It was assigned to this individual provider in the NPPES registry on April 17, 2022.

Where is Kenneth Andujar located?

Kenneth Andujar practices at 807 Cobb Ct, Wauchula, FL 33873. The listed phone number is (866) 234-8534.

What is Kenneth Andujar's specialty?

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

Is Kenneth Andujar enrolled in Medicare?

Yes. Kenneth Andujar is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Andujar accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 9 other insurers list Kenneth Andujar 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 Kenneth Andujar was last updated on June 21, 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.