Individual provider Active NPI

Sarah Savitri Freely, DMD

  • General Practice Dentistry
  • Cary, IL
National Provider Identifier
1053520858
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027167 Issued in IL
Practice address
412 Crystal St
Cary, IL 60013-2023
Phone
(847) 516-1100
NPI assigned
May 21, 2007
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.027167 IL
General Practice Dentistry 1223G0001X 019027167 IL Primary

Addresses

Primary practice location

412 Crystal St
Cary, IL 60013-2023

Mailing address

412 Crystal St
Cary, IL 60013-2023
Phone (847) 636-7314

Other practice location 1

811 W Wellington Ave
Chicago, IL 60657-5123
Phone (773) 871-1461

Other identifiers 1

IdentifierTypeStateIssuer
019.027167OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20150508001098 IL Order and Referring Only - Other (Non-Physician) 3476872789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.027167ILMDGeneral Practice Dentistry
019027167ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Dental Associates PLLC General Practice CurrentSince Dec 21, 2021 Accepting new patients

Locations

412 Crystal St
Cary, IL 60013
Phone (847) 516-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1053520858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CRYSTAL ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132023",
            "telephone_number": "847-636-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CRYSTAL ST",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132023",
            "telephone_number": "847-516-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575123",
            "country_code": "US",
            "telephone_number": "773-871-1461",
            "fax_number": "773-871-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREELY",
        "first_name": "SARAH",
        "middle_name": "SAVITRI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027167",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "019.027167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.