Familia Dental Kenosha LLC
NPI 1154782209 · Dental Clinic/Center · Kenosha, WI
Familia Dental Kenosha LLC is a Dental Clinic/Center organization in Kenosha, WI (NPI 1154782209).
Provider details
- NPI number
- 1154782209
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brandon Taylor, Credentialing & Payer Relations Man(847) 453-7396
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-03-17
- Last updated
- 2021-06-25
- Certified
- 2021-06-25
Frequently asked questions
- What is Familia Dental Kenosha LLC's NPI number?
- Familia Dental Kenosha LLC's National Provider Identifier (NPI) is 1154782209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Familia Dental Kenosha LLC?
- Familia Dental Kenosha LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Familia Dental Kenosha LLC located?
- Familia Dental Kenosha LLC's practice location on file with NPPES is 6430 Green Bay Rd., Kenosha, WI 53142-2948.
- What is Familia Dental Kenosha LLC's phone number?
- The practice phone number listed in the NPPES registry for Familia Dental Kenosha LLC is (262) 653-3980.
- Who is the authorized official for Familia Dental Kenosha LLC?
- The authorized official listed on Familia Dental Kenosha LLC's NPPES record is Brandon Taylor, Credentialing & Payer Relations Man. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Familia Dental Kenosha LLC's NPI active?
- Yes — Familia Dental Kenosha LLC's NPI (1154782209) is active in the NPPES registry as of the last update on 2021-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.