S&S DYNAMIC LLC
NPI 1740970284
Podiatrist - Foot & Ankle Surgery in Bolingbrook, IL

Active since May 09, 2023
174 HOLLY ST, BOLINGBROOK, IL 60490(847) 650-0728 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, May 16, 2023, May 9, 2023 (3 updates tracked since 2023).

About S&s Dynamic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S&S DYNAMIC LLC (NPI 1740970284) is a healthcare organization registered as a foot & ankle surgery in Bolingbrook, Illinois and active in the NPI registry since May 2023. The organization lists Shaheera Khan, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1740970284
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameS&S DYNAMIC LLC
Location Address174 HOLLY STBolingbrook, IL 60490-2107
Mailing Address174 Holly StBolingbrook, IL 60490-2107 · (847) 650-0728
Organization SubpartNo
Authorized OfficialShaheera KhanPodiatrist · (847) 650-0728
Enumeration DateMay 9, 2023
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1740970284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
174 HOLLY ST, Bolingbrook, IL 60490

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

S&s Dynamic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to S & s Dynamic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1861059834
4646 N MARINE DR
Chicago, IL 60640
(773) 878-8700
✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S&s Dynamic LLC's NPI number?

The NPI number for S&s Dynamic LLC is 1740970284. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is S&s Dynamic LLC located?

S&s Dynamic LLC is located at 174 Holly St, Bolingbrook, IL 60490. The listed phone number is (847) 650-0728.

What is S&s Dynamic LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is S&s Dynamic LLC enrolled in Medicare?

Yes. S&s Dynamic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S&s Dynamic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to S&s Dynamic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for S&s Dynamic LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.