Fayroza Samir Shehayber, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

40811 Issued in TX

Practice address

8131 W 91St St
Hickory Hills, IL 60457-1465

Phone

(708) 228-1676

NPI assigned

May 28, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1653696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1679212625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N HIGHWAY 77",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657911",
            "telephone_number": "469-712-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 W 91ST ST",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571465",
            "telephone_number": "708-228-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHAYBER",
        "first_name": "FAYROZA",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-28",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "NA",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "40811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Salinas, LPC
• Thomas M Savage
• Scheck & Siress Prosthetics, Inc (Hanger Clinic IV)
• Serenity Surgical Services SC
• Merry Beth Sheets, L.C.P.C.
• Sheldon Z Rubin DPM
• Joseph Siepka Jr., PT
• Signature Medical Solutions LLC
• Symone Ieshia Simmons
• Paulina Snopek

• Dentist in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.