Individual provider Active NPI

Kathryn Vorwald, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakeland, FL
National Provider Identifier
1689961385
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN27498 Issued in FL
Practice address
2150 Harden Blvd
Lakeland, FL 33803-5917
Phone
(863) 665-8878
Fax
(863) 665-1096
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X ME131781 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN27498 FL Primary

Addresses

Primary practice location

2150 Harden Blvd
Lakeland, FL 33803-5917

Mailing address

2150 Harden Blvd
Lakeland, FL 33803-5917
Phone (863) 665-8878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814001151 FL Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3779880844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strauss and Strauss D.M.D.S, PAGroup PAC ID 2769462969, 5 clinicians

Practice addresses (Care Compare)

1601 SW Gatlin Blvd
Port St Lucie, FL 34953-4109
Phone (772) 785-7327

1801 SE Hillmoor Dr
Suite A106
Port St Lucie, FL 34952-7545
Phone (772) 335-5090

821 E Ocean Blvd
Suite a
Stuart, FL 34994-2456
Phone (772) 283-6757

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME131781FLMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Strauss & Strauss D.M.D.S, PA Oral and Maxillofacial Surgery CurrentSince Feb 16, 2025 Accepting new patients
Dental Implant Specialists of Florida, PA Oral and Maxillofacial Surgery CurrentSince Dec 17, 2023 Accepting new patients
Musser & Richards L L C PastSince Dec 17, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2150 Harden Blvd
Lakeland, FL 33803
Phone (863) 665-8878

1801 SE Hillmoor Dr
Ste A-106
Port St Lucie, FL 34952
Phone (772) 335-5090

1601 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 785-7327

821 SE Ocean Blvd
Ste A
Stuart, FL 34994
Phone (407) 283-6757

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1689961385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035917",
            "telephone_number": "863-665-8878",
            "fax_number": "863-665-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035917",
            "telephone_number": "863-665-8878",
            "fax_number": "863-665-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORWALD",
        "first_name": "KATHRYN",
        "credential": "MD, DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME131781",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN27498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.