Robert McDowell Shugart II

Primary specialty

DentistTaxonomy code 122300000X

License

12015079A Issued in IN

Practice address

4626 W Jefferson Blvd
Fort Wayne, IN 46804-6897

Phone

(260) 432-0561

NPI assigned

Jun 8, 2026

Last updated

Jun 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1316870231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13822 LIBERTY MILLS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046897",
            "telephone_number": "260-432-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUGART",
        "first_name": "ROBERT",
        "middle_name": "MCDOWELL",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12015079A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzi Short, RBT
• Sujan Shrestha-Karki
• Kishan Kumar Shrestha, MD
• Shraddha Shrestha, MD
• Robert M Shugart, M.D.
• Ellen Shuherk
• Abhijit Shukla, M.D.
• Allison Lucy Shuler, MOTR/L
• Katie Ann Shull, LCMHA
• Laura A Shull

• Dentist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.