KELLI K KANEMARU-TAKEUCHI (DDS) – General Practice Dentistry, NPI 1255688933
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLI K KANEMARU-TAKEUCHI (DDS)
480 W LOWDER ST
MACCLENNY, FL 320632664
Phone: (904) 259-6291
Fax: (904) 259-1950
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $2,069.
Total Amount is formed as General ($2,069) + Research ($0) + Ownership ($0) = $2,069.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ZIMVIE INC. ($2,069).
Total Amount
$2,069
General + Research + Ownership
Payments
16
Total payment records
General Amount
$2,069
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $2,069 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-10-20
PECOS data refreshed: 2026-05-27
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32063)
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Reviews
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