Individual provider Active NPI

Claudine Andujar

  • Dentist
  • Sanford, FL
National Provider Identifier
1912644659
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29430 Issued in FL
Practice address
4730 W State Road 46 Ste 1220
Sanford, FL 32771-9343
Phone
(407) 708-3145
NPI assigned
May 15, 2022
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29430 FL Primary

Addresses

Primary practice location

4730 W State Road 46 Ste 1220
Sanford, FL 32771-9343

Mailing address

2480 Cherry Laurel Dr Apt 203
Sanford, FL 32771-8843
Phone (786) 451-5342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN29430FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Sanford PA PastSince Aug 4, 2024 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1912644659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 CHERRY LAUREL DR APT 203",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718843",
            "telephone_number": "786-451-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 W STATE ROAD 46 STE 1220",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719343",
            "telephone_number": "407-708-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDUJAR",
        "first_name": "CLAUDINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2024-08-02",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.