Christina C Couillard, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5493 Issued in WI

Practice address

6217 S Packard Ave
Cudahy, WI 53110-3096

Phone

(414) 764-5550

Fax

(414) 764-8175

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760456727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103096",
            "telephone_number": "414-764-5550",
            "fax_number": "414-764-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103096",
            "telephone_number": "414-764-5550",
            "fax_number": "414-764-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUILLARD",
        "first_name": "CHRISTINA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shujahat Ali Chaudhry, M.D.
• Chiropractic Company - Cudahy LTD
• City of Cudahy (Cudahy Fire Department)
• City of Cudahy (Cudahy Health Department)
• Cynthia Faulkner Cook, PT
• Courteous Home Health Care
• Cudahy Clinic Phcy Inc (Cudahy Clinic Serv U Phcy)
• Cudahy Dental Associates, S.C.
• Cudahy Place
• Maximo L Cueto, MD

• General Practice Dentistry in Cudahy, WI
• Providers in Cudahy, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.