Active NPI
James Joseph Shubert, DMD
- Dentist
- Buffalo, WY
National Provider Identifier
1528094158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1136
- Practice address
- 1001 Eagle View Dr
Buffalo, WY 82834-1422 - Phone
- (307) 684-9627
- NPI assigned
- Jun 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1136 | WY | Primary |
Addresses
Primary practice location
1001 Eagle View Dr
Buffalo, WY 82834-1422
Mailing address
630 Summit Dr
Buffalo, WY 82834-1435
Phone (307) 684-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Summit Dental Clinic, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Buffalo, WY
- NPI 1457631558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528094158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SUMMIT DR",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341435",
"telephone_number": "307-684-0119",
"fax_number": "307-684-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 EAGLE VIEW DR",
"city": "BUFFALO",
"state": "WY",
"postal_code": "828341422",
"telephone_number": "307-684-9627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUBERT",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WY",
"license": "1136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.