Jeffrey J. Shambaugh DMD PC
NPI 1568838225ActiveOrganization· Dentist, General Practice· Fort Wayne, IN
Dentist, General Practice in Fort Wayne, Indiana, registered in NPPES in August 2015. The authorized official on file is Jeffrey Joseph Shambaugh, DMD, Dentist/Owner.
Overview
| NPI | 1568838225 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2015 |
| Last updated in NPPES | Aug 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 12010642A | IN |
| Dentist, General Practice | 1223G0001X | 12011943A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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