JAMES A SHUPE DDS NPI 1013016823

NPI Information

NPI: 1013016823
Provider Name: JAMES A SHUPE, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
3030 LAKE AVE
SUITE 15
FORT WAYNE, IN
ZIP 46805
Phone: (260) 422-8419
Get Directions

James A Shupe, DDS is a pediatric dentistry dentist in Fort Wayne, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. James A Shupe, DDS NPI is 1013016823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3030 LAKE AVE
SUITE 15
FORT WAYNE, IN
ZIP 46805-428
Phone: (260) 422-8419
Fax: (260) 422-3591

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	12008822A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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