Jui Siddharth Gaikwad

Primary specialty

DentistTaxonomy code 122300000X

License

1002750-15 Issued in WI

Practice address

6430 Green Bay Rd Ste 112
Kenosha, WI 53142-2948

Phone

(262) 653-3980

NPI assigned

Feb 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jui Madhukar Karanjkar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Familia Dental Kenosha LLC

  • Dental Clinic/Center
  • Kenosha, WI
  • NPI 1154782209
  NPD

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1881347540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 W GUNNISON ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304852",
            "telephone_number": "234-303-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 GREEN BAY RD STE 112",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422948",
            "telephone_number": "262-653-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIKWAD",
        "first_name": "JUI",
        "middle_name": "SIDDHARTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002750-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUI",
            "last_name": "KARANJKAR",
            "middle_name": "MADHUKAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Ellen Fulk, PA-C
• Kevin J Fullin, MD FACC
• Patricia Fullin, ACUPUNCTURISTS
• Kaleigh E Fulmer, DDS
• Dequan M Gaddis Jr., CPHT
• Lauren Galicia Magnuson, OT
• Vincent Galis
• Marissa Gall
• Kierston Gallimore, MEDICAL ASSISTANT
• Kathleen M Gallion, PT

• Dentist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.