Sibtain Kerai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026667 Issued in IL

Practice address

335 N Schmidt Rd
Bolingbrook, IL 60440-1702

Phone

(630) 759-1200

Fax

(630) 759-3505

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Dr. Sibtain Kerai, P.C.

  • Dentist
  • Bolingbrook, IL
  • NPI 1295065548
  NPD (past) Authorized official
• Big Wave Dental PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1669355434
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262995200000",
    "number": "1720189897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 WESTHAMPTON DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865852",
            "telephone_number": "312-231-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N SCHMIDT RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401702",
            "telephone_number": "630-759-1200",
            "fax_number": "630-759-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERAI",
        "first_name": "SIBTAIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026667",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kelly, M.D.
• Melissa Marie Kelly, DO
• Stephen D. Kemerley, O.D.
• Ken Gray Company Inc.
• Ken Gray Company Inc.
• Jean E. Keskitalo, O.D.
• Faisal Khan
• Hammad Khan, DDS
• Haroon Khan, PHARMACIST
• Vinod V Khandate, PT

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2010; 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.