Active NPI
Rameen Usman
- Dentist
- Kenosha, WI
National Provider Identifier
1962399071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001879
- Practice address
- 6430 Green Bay Rd Ste 112
Kenosha, WI 53142-2948 - Phone
- (262) 653-3980
- NPI assigned
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6001879 | WI | Primary |
Addresses
Primary practice location
6430 Green Bay Rd Ste 112
Kenosha, WI 53142-2948
Mailing address
34015 N Wooded Glen Dr
Grayslake, IL 60030-4022
Phone (847) 897-8786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001879 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental Kenosha LLC | Current | Accepting new patients |
Locations
6430 Green Bay Rd
Ste 112
Kenosha, WI 53142
Phone (262) 653-3980
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Kenosha, WI
- NPI 1154782209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1962399071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34015 N WOODED GLEN DR",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600304022",
"telephone_number": "847-897-8786"
},
{
"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": "USMAN",
"first_name": "RAMEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.