KATHRYN ANN HACKENBERG CARDENAS DMD
NPI 1639202658
Dentist - General Practice in St Augustine, FL

Q: What is Kathryn Cardenas's NPI number?

The NPI number for Kathryn Cardenas is 1639202658. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Kathryn Cardenas's specialty?

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

Q: Is Kathryn Cardenas enrolled in Medicare?

No. Kathryn Cardenas has opted out of Medicare through November 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Cardenas was last updated on May 4, 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.

Active since March 13, 2007Opted out of Medicare · through Nov 8, 2026

109 NATURE WALK PKWY, ST AUGUSTINE, FL 32092(904) 497-4343(904) 484-7563 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Kathryn Ann Hackenberg Cardenas Dmd NPPES

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

KATHRYN ANN HACKENBERG CARDENAS DMD (NPI 1639202658) is an individual general practice provider in St Augustine, Florida, licensed in Florida (DN 16555) and active in the NPI registry since March 2007. She has opted out of Medicare through November 8, 2026.

NPPES Registry Identity

NPI1639202658

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKATHRYN ANN HACKENBERG CARDENASCredential: DMD

Location Address109 NATURE WALK PKWYSt Augustine, FL 32092-5059

Mailing Address109 Nature Walk Pkwy Unit 105St Augustine, FL 32092-5065 · (904) 497-4343 · Fax (904) 484-7563

Phone(904) 497-4343

Fax(904) 484-7563

Sole ProprietorNo

Enumeration DateMarch 13, 2007

Last NPPES UpdateMay 4, 2023

NPPES CertifiedMay 4, 2023

✔ NPI 1639202658 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 · DN 16555

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.

109 NATURE WALK PKWY, St Augustine, FL 32092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Humana.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

Kathryn Ann Hackenberg Cardenas Dmd 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 November 8, 2022 through November 8, 2026.

Opt-Out Effective DateNovember 8, 2022

Opt-Out In Effect ThroughNovember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

GET WELL, LLC

Clinic/Center

109 NATURE WALK PKWY, SUITE 101
SAINT AUGUSTINE, FL 32092

St. Johns County (904) 217-7030

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 Kathryn Cardenas's NPI number?

The NPI number for Kathryn Cardenas is 1639202658. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Kathryn Cardenas located?

Kathryn Cardenas practices at 109 Nature Walk Pkwy, St Augustine, FL 32092. The listed phone number is (904) 497-4343.

What is Kathryn Cardenas's specialty?

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

Is Kathryn Cardenas enrolled in Medicare?

No. Kathryn Cardenas has opted out of Medicare through November 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kathryn Cardenas accept?

Health plans from Guardian and Humana list Kathryn Cardenas 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 Kathryn Cardenas was last updated on May 4, 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.