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FAMILIA DENTAL KENOSHA LLC
NPI 1154782209
Clinic/Center - Dental in Kenosha, WI

Active since March 17, 2016
6430 GREEN BAY RD., STE. 112, KENOSHA, WI 53142(262) 653-3980(262) 455-7710 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2021, Mar 17, 2016 (2 updates tracked since 2016).

About Familia Dental Kenosha Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILIA DENTAL KENOSHA LLC (NPI 1154782209) is a healthcare organization registered as a dental in Kenosha, Wisconsin and active in the NPI registry since March 2016. The organization lists Brandon Alexander Taylor, Credentialing & Payer Relations Man, as its authorized official.

NPPES Registry Identity

NPI1154782209
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILIA DENTAL KENOSHA LLC
Location Address6430 GREEN BAY RD., STE. 112Kenosha, WI 53142-2948
Mailing Address2050 East Algonquin Road, Suite 610Schaumburg, IL 60173-4166 · (847) 453-7396 · Fax (847) 453-7396
Phone(262) 653-3980
Fax(262) 455-7710
Organization SubpartNo
Authorized OfficialBrandon Alexander TaylorCredentialing & Payer Relations Man · (847) 453-7396
Enumeration DateMarch 17, 2016
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1154782209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
6430 GREEN BAY RD., Kenosha, WI 53142
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Familia Dental Kenosha LLC's NPI number?

The NPI number for Familia Dental Kenosha LLC is 1154782209. It was assigned to this organization in the NPPES registry on March 17, 2016.

Where is Familia Dental Kenosha LLC located?

Familia Dental Kenosha LLC is located at 6430 Green Bay Rd. Ste. 112, Kenosha, WI 53142. The listed phone number is (262) 653-3980.

What is Familia Dental Kenosha LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Familia Dental Kenosha LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Familia Dental Kenosha LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Familia Dental Kenosha LLC was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.