Active NPI
Park Ridge Complete Dental PLLC
- Periodontics
- Park Ridge, IL
National Provider Identifier
1184538498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- PARK RIDGE COMPLETE DENTAL PLLC
- Practice address
- 912 Busse Hwy
Park Ridge, IL 60068-2304 - Phone
- (929) 655-9974
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ibrahim Shuaib
- Title
- DDS, Periodontist
- Phone
- (929) 655-9974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | ||
| Periodontics | 1223P0300X | NU | Primary |
Addresses
Primary practice location
912 Busse Hwy
Park Ridge, IL 60068-2304
Mailing address
912 Busse Hwy
Park Ridge, IL 60068-2304
Phone (929) 655-9974
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Periodontics
- Arlington Heights, IL
- NPI 1093473605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1184538498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 BUSSE HWY",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682304",
"telephone_number": "929-655-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 BUSSE HWY",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682304",
"telephone_number": "929-655-9974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK RIDGE COMPLETE DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "SHUAIB",
"authorized_official_first_name": "IBRAHIM",
"authorized_official_title_or_position": "DDS, PERIODONTIST",
"authorized_official_telephone_number": "929-655-9974",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
- Purvi Yogesh Parikh, M.D.
- Sravanthi Sesha Paritala
- Park Ridge Care Center, LTD.
- Park Ridge Center for Plastic Surgery Inc
- Park Ridge Chiropractic
- Park Ridge Counseling LLC
- Park Ridge Dental Associates
- Park Ridge Dentistry PLLC
- Park Ridge Endodontics
- Park Ridge Healthcare Center LLC (Park Ridge Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.