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JAMES A SHUPE JR. DDS
NPI 1013016823
Dentist - Pediatric Dentistry in Fort Wayne, IN

Active since September 21, 2006
3030 LAKE AVE, SUITE 15, FORT WAYNE, IN 46805(260) 422-8419(260) 422-3591 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James A Shupe Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES A SHUPE JR. DDS (NPI 1013016823) is an individual pediatric dentistry provider in Fort Wayne, Indiana, licensed in Indiana (12008822A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1013016823
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJAMES A SHUPE JR.Credential: DDS
Location Address3030 LAKE AVE, SUITE 15Fort Wayne, IN 46805-5428
Mailing Address3030 Lake Ave, Suite 15Fort Wayne, IN 46805-5428 · (260) 422-8419 · Fax (260) 422-3591
Phone(260) 422-8419
Fax(260) 422-3591
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013016823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12008822A
Definition
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.
3030 LAKE AVE, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS P VAN DEN DRIESSCHE M.D.
Family Medicine
3030 LAKE AVE, SUITE32
FORT WAYNE, IN 46805
Allen County (260) 424-3134
LITTLE TURTLE PEDIATRICS, P.C.
Pediatrics (Adolescent Medicine)
3030 LAKE AVE, SUITE 10
FORT WAYNE, IN 46805
Allen County (260) 422-2448
INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.
Clinic/Center (Developmental Disabilities)
3030 LAKE AVE, SUITE 7
FORT WAYNE, IN 46805
Allen County (260) 422-2838
JAMES A SHUPE DDS, DENTISTRY FOR CHILDREN, INC
Dentist (Pediatric Dentistry)
3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805
Allen County (260) 422-8419
MICHAEL FELIX BARILE D.C.,P.T.
Physical Therapist
3030 LAKE AVE, 26
FORT WAYNE, IN 46805
Allen County (260) 420-4400
JENNIFER A CHAPMAN P.T.
Physical Therapist
3030 LAKE AVE, SUITE 24
FORT WAYNE, IN 46805
Allen County (260) 424-8830
DRS. NELSON & MENON
Allergy & Immunology
3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805
Allen County (260) 422-5569
MRS. NORA MARIE STEWART M.A.F.-AAA
Audiologist-Hearing Aid Fitter
3030 LAKE AVE, SUITE 23
FORT WAYNE, IN 46805
Allen County (260) 485-1231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Shupe's NPI number?

The NPI number for James Shupe is 1013016823. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is James Shupe located?

James Shupe practices at 3030 Lake Ave Suite 15, Fort Wayne, IN 46805. The listed phone number is (260) 422-8419.

What is James Shupe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for James Shupe was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.