Shafeeq H Bader, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

019025521 Issued in IL

Practice address

148 E Army Trail Rd
Glendale Heights, IL 60139-1647

Phone

(224) 698-1472

Fax

(224) 653-4878

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dental Heights Number 2 DDS PC

  • Dental Clinic/Center
  • Schaumburg, IL
  • NPI 1740769447
  NPD Authorized official
• Dental Impression, SC

  • Dentist
  • Chicago, IL
  • NPI 1235415548
  NPD Authorized official
• Shafeeq H. Bader, D.D.S., S.C.

  • Dentist
  • Chicago, IL
  • NPI 1366980039
  NPD Authorized official
• Dental Heights DDS PC

  • Dentist
  • Glendale Heights, IL
  • NPI 1063754232
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1114916129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CLOVER RIDGE CT",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432892",
            "telephone_number": "630-773-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E ARMY TRAIL RD",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391647",
            "telephone_number": "224-698-1472",
            "fax_number": "224-653-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5430 S Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606322620",
            "country_code": "US",
            "telephone_number": "773-925-0650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "SHAFEEQ",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025521",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "019025521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autism and Behavior Consultants, Inc.
• Axel Healthtech LLC
• Alexis Ayala
• Lyla H Azzam, DDS
• B&B Microbiology Laboratory, Inc.
• Zishan Bader, D.D.S.
• Mohammed Abdul Basith, MD
• Lisa Nadine Beck, LCSW
• Best Covid Care LLC
• Cindy Sue Bestrycki, PA-C

• Oral & Maxillofacial Surgery (D.M.D.) in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.