Unknown Elsa Kurian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6001729 Issued in WI

Practice address

1931 Main St
Green Bay, WI 54302-3920

Phone

(920) 499-2770

NPI assigned

Jan 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 Green Bay East LLC

  dba Familia Dental

  • Dental Clinic/Center
  • Green Bay, WI
  • NPI 1194188706
  NPD

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1912717877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N URSULA ST UNIT 224",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457409",
            "telephone_number": "703-862-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023920",
            "telephone_number": "920-499-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSA KURIAN",
        "first_name": "UNKNOWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Lee Ellis, DDS, MD
• Stephanie Marie Ellman, ARNP
• James Leigh Elm, O.D.
• Teresa Elm
• Tariq Elmadawy
• Muna Elsiddig, MD
• Embodied-Wellbeing Limited Liability Company
• Embodied-Welllbeing
• Tucker Anthony Emerson, D.C.
• Kate Henniges Emme, SLP

• Dentist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.