Individual provider Active NPI

Jeffery R Sarbieski, DDS

  • Dentist
  • Lansing, IL
National Provider Identifier
1437269453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
19277 Burnham Ave
Lansing, IL 60438
Phone
(708) 474-4670
Fax
(708) 474-4790
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

19277 Burnham Ave
Lansing, IL 60438

Mailing address

19277 Burnham Ave
Lansing, IL 60438
Phone (708) 474-4670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160615002663 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476844846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019022763ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437269453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19277 BURNHAM AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "60438",
            "telephone_number": "708-474-4670",
            "fax_number": "708-474-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19277 BURNHAM AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "60438",
            "telephone_number": "708-474-4670",
            "fax_number": "708-474-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARBIESKI",
        "first_name": "JEFFERY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.