NPI age
14 years
Enumerated 2011-06-22
● Active
Type 1 · Individual
DR. Raymond Patrick Shupak, DMD, MD
Shupak is 1 of 34 dentist providers in Fort Worth and 1 of 935 in Texas.
Primary specialty
Dentist
Plus 3 subspecialties
Licensed in
TX, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-05-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 935 active dentist providers in Texas.
NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Practice location
1500 South Main Street Jps Hospital, Dept Of Omfs
Fort Worth, TX 76104
Mailing address
1500 South Main Street Jps Hospital, Dept Of Omfs
Fort Worth, TX 76104
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
3501 Terrace St
Pittsburgh, PA 152132523
Location 3
3501 Terrace Street, Suite 3189
Pittsburgh, PA 15261
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
-
Oral & Maxillofacial SurgeryOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 1029564820001 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 935 Dentist providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.