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JAMES A SHUPE DDS, DENTISTRY FOR CHILDREN, INC
NPI 1124127832
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: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James A Shupe Dds, Dentistry For Children, Inc NPPES

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

JAMES A SHUPE DDS, DENTISTRY FOR CHILDREN, INC (NPI 1124127832) is a healthcare organization registered as a pediatric dentistry in Fort Wayne, Indiana and active in the NPI registry since September 2006. The organization lists James A Shupe, President, as its authorized official.

NPPES Registry Identity

NPI1124127832
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJAMES A SHUPE DDS, DENTISTRY FOR CHILDREN, INC
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
Organization SubpartNo
Authorized OfficialJames A ShupePresident · (260) 422-8419
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124127832 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 · 54000026A
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
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

JAMES A SHUPE JR. DDS
Dentist (Pediatric Dentistry)
3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805
Allen County (260) 422-8419
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
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 A Shupe Dds, Dentistry For Children, Inc's NPI number?

The NPI number for James A Shupe Dds, Dentistry For Children, Inc is 1124127832. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is James A Shupe Dds, Dentistry For Children, Inc located?

James A Shupe Dds, Dentistry For Children, Inc is located at 3030 Lake Ave Suite 15, Fort Wayne, IN 46805. The listed phone number is (260) 422-8419.

What is James A Shupe Dds, Dentistry For Children, Inc'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 A Shupe Dds, Dentistry For Children, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.