Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639202658 Individual Practitioner Female Practitioner

Dr. Kathryn Ann Hackenberg Cardenas , DMD

Dentist - General Practice • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Cardenas, DMD is a registered healthcare professional specializing in Dentist - General Practice in St Augustine, FL. Practice services are available at 109 NATURE WALK PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Nature Walk Pkwy

St Augustine, FL 320925059

Telephone 9044974343
Fax 9044847563
Associated Practice Facility / Clinic
🏢 Whispering Pines Dental, Llc Facility NPI 1598479511

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
44 Specialists

Practicing in St Augustine, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN 16555

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 04, 2023

Registered at 109 NATURE WALK PKWY, ST AUGUSTINE, FL 320925059 (Tel: 9044974343)

📍
Updated Business Mailing Address May 04, 2023

Registered at 109 NATURE WALK PKWY UNIT 105, ST AUGUSTINE, FL 320925065 (Tel: 9044974343)

NPI Profile Active March 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2011

Registered at 546 S 5TH ST, MACCLENNY, FL 320632602 (Tel: 9042595007)

📍
Updated Business Mailing Address March 22, 2011

Registered at 546 S 5TH ST, MACCLENNY, FL 320632602 (Tel: 9042595007)

👤
Provider Name / Credentials Updated March 22, 2011

Recorded as KATHRYN CARDENAS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2011

Dentist (License #DN 16555 in FL)

🟢
Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639202658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: May 04, 2023
Sole Proprietor: No

Mailing Address

109 Nature Walk Pkwy Unit 105

St Augustine, FL 320925065

Phone: 9044974343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.