Organization Active NPI

Sycamore Pediatric Dentistry, LLC

Doing business as Sycamore Orthodontics and Pediatric Dentistry

  • Dental Clinic/Center
  • Sycamore, IL
National Provider Identifier
1285440370
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SYCAMORE PEDIATRIC DENTISTRY, LLC
Doing business as
Sycamore Orthodontics and Pediatric Dentistry
Practice address
124 N California St
Sycamore, IL 60178-1402
Phone
(815) 895-7660
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Sarah Barysenka, DMDNPI 1053766220
Title
Owner
Phone
(847) 404-4906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

124 N California St
Sycamore, IL 60178-1402

Mailing address

124 N California St
Sycamore, IL 60178-1402
Phone (815) 895-7660

Other names 1

  • Sycamore Orthodontics and Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

124 N California St
Sycamore, IL 60178
Phone (815) 895-7660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1285440370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N CALIFORNIA ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781402",
            "telephone_number": "815-895-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N CALIFORNIA ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601781402",
            "telephone_number": "815-895-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "BARYSENKA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-404-4906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Orthodontics and Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.