Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Familia Dental Kenosha LLC

Dental Clinic/Center in Kenosha, WI · enumerated 2016 · authorized official Brandon Taylor, Credentialing & Payer Relations Man.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154782209

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Familia Dental Kenosha LLC

Practice address 6430 Green Bay Rd., Ste. 112, Kenosha, WI, 53142

Phone (262) 653-3980

Fax (262) 455-7710

Enumeration date Mar 17, 2016

Last updated in NPPES Jun 25, 2021

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Secondary

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Brandon Taylor

Title Credentialing & Payer Relations Man

Phone (847) 453-7396

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-06-25. Verify at npiregistry.cms.hhs.gov.

Where is Familia Dental Kenosha LLC located?

The practice location on file with NPPES is in Kenosha, WI.

Providers at this address

Browse all →

Aidan Park Dentist · Kenosha, WI NPI 1639626450 Dong Song Dentist · Kenosha, WI NPI 1932625522 Jasjot Chahil Dentist · Kenosha, WI NPI 1063910164 Krupa Patel General Practice Dentistry · Kenosha, WI NPI 1285287540

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-25.