Active NPI
Rani Seeth, DDS
- Dentist
- Bolingbrook, IL
National Provider Identifier
1477534493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019026866
- Practice address
- 136 S Bolingbrook Dr
Bolingbrook, IL 60440-2852 - Phone
- (630) 739-5500
- Fax
- (630) 739-5505
- NPI assigned
- Nov 8, 2005
- 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 | 019026866 | IL | Primary |
Addresses
Primary practice location
136 S Bolingbrook Dr
Bolingbrook, IL 60440-2852
Mailing address
136 S Bolingbrook Dr
Bolingbrook, IL 60440-2852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917 9527 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150827002910 | IL | Order and Referring Only - Oral Surgery | 1658687207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019026866 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1477534493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 S BOLINGBROOK DR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S BOLINGBROOK DR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402852",
"telephone_number": "630-739-5500",
"fax_number": "630-739-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEETH",
"first_name": "RANI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019026866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "917 9527",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
- Nicholas Carl Schank, PT
- Courtney Lynn Schmitt
- Itiona M Scott
- Jaime Lynn Scranton, LCSW
- Seek Healthcare Incorporated
- Krystel Segovia
- Prakash Selvaraj, M.D.
- Rajakumari Prakash Selvaraj, M.D.
- Senior Estates Supportive Living Facility Limited Partnership (Heritage Woods of Bolingbrook)
- Marielle B Serenda, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.