Dima Sibai, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019028815 Issued in IL

Practice address

940 Plainfield Rd.
Willowbrook, IL 60527

Phone

(630) 484-3929

NPI assigned

Aug 7, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dima Sibai DDS PC

  • Dental Clinic/Center
  • Willowbrook, IL
  • NPI 1710458526
  NPD (past) Authorized official
• International Dental Center

  • Point of Service
  • Joliet, IL
  • NPI 1750518502
  NPD (past)
• International Dental Joliet

  • Point of Service
  • Joliet, IL
  • NPI 1740559897
  NPD (past)

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

{
    "created_epoch": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1124307251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HILLCREST CT",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 PLAINFIELD RD.",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-484-3929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 S Larkin Ave",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604361244",
            "country_code": "US",
            "telephone_number": "815-730-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBAI",
        "first_name": "DIMA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl F. Semrau, D.D.S.
• Marisa Gonzalez Seper, MSW
• Aayush Shah, DPT
• Tejal Shah
• Yahia Sharbaji
• Ryan P Siems, DPT
• Dean Simoncelli
• Jennifer L Skaling, PT
• Ruth Skolnick-Schur
• Christina Sladkowski

• Dentist in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.