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James Shupe, DDS
NPI 1013016823 · Pediatric Dentistry · Fort Wayne, IN
James Shupe, DDS is a Pediatric Dentistry provider in Fort Wayne, IN (NPI 1013016823).
Provider details
- NPI number
- 1013016823
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 12008822A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3030 Lake Ave
Suite 15
Fort Wayne, IN 46805-5428
Phone: (260) 422-8419
Fax: (260) 422-3591
Street-level locationGet directions
Mailing address
3030 Lake Ave
Fort Wayne, IN 46805-5428
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2007-07-08
Frequently asked questions
- What is James Shupe's NPI number?
- James Shupe's National Provider Identifier (NPI) is 1013016823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Shupe's specialty?
- James Shupe is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is James Shupe located?
- James Shupe's practice location on file with NPPES is 3030 Lake Ave, Fort Wayne, IN 46805-5428.
- What is James Shupe's phone number?
- The practice phone number listed in the NPPES registry for James Shupe is (260) 422-8419.
- Is James Shupe's NPI active?
- Yes — James Shupe's NPI (1013016823) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.