1. Home
  2. Directory
  3. Indiana
  4. Noblesville
  5. Dentist
  6. NPI Profile

DR. RANDOLPH KEN SHOUP DDS
NPI 1295741577
Dentist - General Practice in Noblesville, IN

Active since July 31, 2006
14297 BERGEN BLVD # 100, NOBLESVILLE, IN 46060(317) 776-1100(317) 776-1129 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randolph Ken Shoup Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDOLPH KEN SHOUP DDS (NPI 1295741577) is an individual general practice provider in Noblesville, Indiana, licensed in Indiana (12008036A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295741577
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RANDOLPH KEN SHOUPCredential: DDS
Location Address14297 BERGEN BLVD # 100Noblesville, IN 46060-3358
Mailing Address14297 Bergen Blvd # 100Noblesville, IN 46060-3358 · (317) 776-1100 · Fax (317) 776-1129
Phone(317) 776-1100
Fax(317) 776-1129
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 22, 2008
✔ NPI 1295741577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12008036A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14297 BERGEN BLVD # 100, Noblesville, IN 46060
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Shoup's NPI number?

The NPI number for Randolph Shoup is 1295741577. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Randolph Shoup located?

Randolph Shoup practices at 14297 Bergen Blvd # 100, Noblesville, IN 46060. The listed phone number is (317) 776-1100.

What is Randolph Shoup's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Randolph Shoup was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.