ELISE BORJA DDS
NPI 1508329921
Dentist - General Practice in Manitowoc, WI

Q: What is Elise Borja's NPI number?

The NPI number for Elise Borja is 1508329921. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Q: What is Elise Borja's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Elise Borja was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since April 11, 2019PECOS Enrolled

3712 KADOW ST, MANITOWOC, WI 54220(920) 684-8033 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Apr 11, 2019 (2 updates tracked since 2019).

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About Elise Borja Dds NPPES

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

ELISE BORJA DDS (NPI 1508329921) is an individual general practice provider in Manitowoc, Wisconsin, licensed in Wisconsin (1002215-15) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508329921

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameELISE BORJACredential: DDS

Location Address3712 KADOW STManitowoc, WI 54220-5450

Mailing Address3712 Kadow StManitowoc, WI 54220-5450 · (920) 684-8033

Phone(920) 684-8033

Sole ProprietorNo

Enumeration DateApril 11, 2019

Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1508329921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 1002215-15

Definition

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.

3712 KADOW ST, Manitowoc, WI 54220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Borja Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUKAS ANTHONY TENUTA

Dentist (General Practice)

3712 KADOW ST
MANITOWOC, WI 54220

Manitowoc County (920) 684-8033

DR. RONALD EGAN DDS

Dentist (General Practice)

3712 KADOW ST
MANITOWOC, WI 54220

Manitowoc County (920) 684-8033

FAMILY DENTAL CENTER, SC

Dentist

3712 KADOW ST
MANITOWOC, WI 54220

Manitowoc County (920) 684-8033

LAKE BREEZE DENTAL, LLC

Clinic/Center (Dental)

3712 KADOW ST
MANITOWOC, WI 54220

Manitowoc County (920) 684-8033

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 Elise Borja's NPI number?

The NPI number for Elise Borja is 1508329921. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Elise Borja located?

Elise Borja practices at 3712 Kadow St, Manitowoc, WI 54220. The listed phone number is (920) 684-8033.

What is Elise Borja's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Elise Borja enrolled in Medicare?

Yes. Elise Borja is registered in the Medicare PECOS enrollment system.

What insurance does Elise Borja accept?

Health plans from Blue Cross and Blue Shield of Alabama, Delta Dental of Wisconsin, Inc. and Humana list Elise Borja 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 Elise Borja was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.