Individual provider Active NPI

Craig Brendan Sonneveld, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orland Park, IL
National Provider Identifier
1851657142
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021002934 Issued in IL
Practice address
9641 W 153Rd St Ste 50
Orland Park, IL 60462-3777
Phone
(708) 403-2626
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10176 TN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 021002934 IL Primary

Addresses

Primary practice location

9641 W 153Rd St Ste 50
Orland Park, IL 60462-3777

Mailing address

9641 W 153Rd St Ste 50
Orland Park, IL 60462-3777
Phone (708) 403-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10176TNMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance of Crossville, PLLC Orthodontics and Dentofacial Orthopedics PastSince Sep 8, 2025 Accepting new patients
Professional Dental Alliance of Tennessee, PLLC PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1851657142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST STE 50",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623777",
            "telephone_number": "708-403-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST STE 50",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623777",
            "telephone_number": "708-403-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNEVELD",
        "first_name": "CRAIG",
        "middle_name": "BRENDAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "10176",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.