Ibrahim Ahmed Shihadeh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03107 Issued in RI

Practice address

115 Budlong Rd
Cranston, RI 02920-6429

Phone

(401) 944-8100

NPI assigned

Jun 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 12, 2025 through Sep 12, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Stephen J Puerini DMD and Steven J Saccoccio DMD PC

  • General Practice Dentistry
  • Cranston, RI
  • NPI 1225241953
  NPD

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1093026916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206429",
            "telephone_number": "401-944-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206429",
            "telephone_number": "401-944-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029203001",
            "country_code": "US",
            "telephone_number": "401-462-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIHADEH",
        "first_name": "IBRAHIM",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mir Ayesha Siddiqua, DDS
• Carlos E Silva
• Cassandra Elizabeth Silva, BA, LCDP
• Dina Silva, LMHC

• General Practice Dentistry in Cranston, RI
• Providers in Cranston, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.