Shane T Cope LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SHANE T COPE LLC

Doing business as

Highland Creek Family Dental

Practice address

4921 State Road 26 E
Suite 100
Lafayette, IN 47905-4608

Phone

(765) 807-0592

Fax

(765) 269-7696

NPI assigned

Apr 10, 2013

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shane T Cope, DDSNPI 1386830503

Title

Owner

Phone

(765) 807-0592

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Highland Creek Family Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane Travis Cope, D.D.S.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1386830503
  NPD Authorized official
• Rachel Marie Goad, DDS

  • Dentist
  • Lafayette, IN
  • NPI 1730538224
  NPD (past)
• Han NA Park, DDS

  • Dentist
  • Lafayette, IN
  • NPI 1083341390
  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1750724613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 STATE ROAD 26 EAST",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054616",
            "telephone_number": "765-807-0592",
            "fax_number": "765-269-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 STATE ROAD 26 E",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054608",
            "telephone_number": "765-807-0592",
            "fax_number": "765-269-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE T COPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "COPE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-807-0592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011052A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200880660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rickin Arun Shah, D.O.
• Samir H Shah, MD
• Shruti S Shah, FNP-BC
• Motaz M Shaher, MD
• Keivan Shalileh, MD
• Troy N Shank
• Megan C Shanley, MSN, NP-C
• Vinusiya Shanmugalingam, MD
• Renu Sharma
• Adrianne Penelope Sharp

• Dentist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.