Dr Randolph Ken Shoup, DDS - Dentist in Noblesville, IN

Dr Randolph Ken Shoup, DDS is a Dentist - General Practice based in Noblesville, Indiana. Dr Randolph Ken Shoup is licensed to practice in Indiana (license number 12008036A) and his current practice location is 14297 Bergen Blvd # 100, Noblesville, Indiana. He can be reached at his office (for appointments etc.) via phone at (317) 776-1100.

NPI number for Dr Randolph Ken Shoup is 1295741577 and his current mailing address is 14297 Bergen Blvd # 100, Noblesville, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295741577.

Contact Information

Dr Randolph Ken Shoup, DDS
14297 Bergen Blvd # 100,
Noblesville, IN 46060-3358
(317) 776-1100
(317) 776-1129



Healthcare Provider's Profile

Full NameDr Randolph Ken Shoup
GenderMale
SpecialityDentist - General Practice
Location14297 Bergen Blvd # 100, Noblesville, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295741577
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 10/22/2008

Medical Identifiers

Medical identifiers for Dr Randolph Ken Shoup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295741577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 12008036A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randolph Ken Shoup is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Randolph Ken Shoup, DDS
14297 Bergen Blvd # 100,
Noblesville, IN 46060-3358

Ph: (317) 776-1100
Dr Randolph Ken Shoup, DDS
14297 Bergen Blvd # 100,
Noblesville, IN 46060-3358

Ph: (317) 776-1100

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› Verified 4 days ago


Dentist in Noblesville, IN

James Huseman, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 485 Noble Creek Dr, Noblesville, IN 46060
Phone: 131-777-0124    
Yidi Liu, DDS, MSD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5594 E 146th St Ste 220, Noblesville, IN 46062
Phone: 765-613-0740    
Dr. Chad Owen Hazelrigg, D.D.S., M.S.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 106 Lakeview Drive, Noblesville, IN 46060
Phone: 317-773-3617    Fax: 317-773-2360
Dr. Gregory B Hopkinson, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 14139 Town Center Blvd Ste 200, Noblesville, IN 46060
Phone: 317-773-9992    
Dr. Jeremy Adam Friedman, D.D.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 16000 Prosperity Dr, Suite 100, Noblesville, IN 46060
Phone: 317-703-1066    Fax: 317-703-1067
Dr. Robin I Raub, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 19405 Little Chicago Rd, Noblesville, IN 46062
Phone: 317-773-3839    Fax: 317-773-4577
Daniel A. Mcgrath, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 14780 North Pointe Blvd., Noblesville, IN 46060
Phone: 317-770-9730    Fax: 317-770-7690

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