Doctor profile · Federal record
Dr. Richard Shockley, D.D.S.
General Practice Dentistry · Portage, MI
- NPI 1194775502
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
706 W Centre Ave
Portage, MI 490245310
(269) 323-1679
fax (269) 323-1536
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- March 23, 2012
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Michigan #2901011400
- Medicaid
- MI #2908240
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194775502. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $14.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
139
Patients
102
Total drug cost
$336
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 120 | 87 | $272 |
| Cephalexin | Generic | 19 | 15 | $64 |
Frequently asked questions
What is Dr. Richard Shockley's medical specialty?
Dr. Richard Shockley practices General Practice Dentistry in Portage, MI.
Where does Dr. Richard Shockley practice?
Dr. Richard Shockley practices at 706 W Centre Ave, Portage, MI 490245310. Office phone: 2693231679.
What is Dr. Richard Shockley's NPI?
Dr. Richard Shockley's National Provider Identifier (NPI) is 1194775502, issued by NPPES.