Ibrahim Shuaib

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021.003322 Issued in IL

Practice address

922 W Dundee Rd
Arlington Heights, IL 60004-7823

Phone

(929) 655-9974

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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.

• Detroit Dental Care, PC

  • Dentist
  • Detroit, MI
  • NPI 1790228476
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1093473605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 W DUNDEE RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047823",
            "telephone_number": "929-655-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 W DUNDEE RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047823",
            "telephone_number": "929-655-9974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14353 Livernois Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482382557",
            "country_code": "US",
            "telephone_number": "313-342-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUAIB",
        "first_name": "IBRAHIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901601134",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.003322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ibra1989@",
            "affiliation": "N",
            "address_1": "2516 72nd St",
            "city": "East Elmhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113701415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Shim
• Shine Functional Health, PLLC
• Kent M Shinozaki, D.D.S.
• Nadezhda Shlyakhta
• Tiffany Joy Shreve
• Kathleen Merrick Shuler, SLP
• Elaine Martinson Sianis, PT
• Rumana Farheen Siddiqui, MD
• Richard S Siegel, MD
• Sandra Siegel, M.A., CCC-A

• Periodontics in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.