NPIMap

Organization Active NPI

Cermak Dental Associates LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1811460595
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CERMAK DENTAL ASSOCIATES LLC
Practice address
1950 W Cermak Rd
Chicago, IL 60608-4204
Phone
(773) 376-2777
NPI assigned
Jan 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Authorized official

Name
Dr. Sibtain Kerai, DDSNPI 1720189897
Title
Manager
Phone
(312) 231-7601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1950 W Cermak Rd
Chicago, IL 60608-4204

Mailing address

1950 W Cermak Rd
Chicago, IL 60608-4204
Phone (773) 376-2777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546732800000",
    "number": "1811460595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084204",
            "telephone_number": "773-376-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084204",
            "telephone_number": "773-376-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERMAK DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-06",
        "last_updated": "2019-01-06",
        "status": "A",
        "authorized_official_last_name": "KERAI",
        "authorized_official_first_name": "SIBTAIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-231-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.