Crystal Chopp, DDS
Individual provider Active NPI Dentist · Ely, MN
NPI 1013384353 · NPPES record last updated Aug 21, 2015
Key facts
- NPI
- 1013384353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D13609 (MN)
- Practice address
- 33 E Chapman St
Ely, MN 55731-1227 - Phone
- (218) 365-3194
- NPI assigned
- Aug 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13609 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Chopp, DDS, PLLC | Current |
Accepting new patients |
Locations
40 N 1st Ave E
Ste 5
Ely, MN 55731
Phone (218) 365-3145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13609 | MN | Yes |
Addresses
Primary practice location
33 E Chapman St
Ely, MN 55731-1227
Mailing address
33 E Chapman St
Ely, MN 55731-1227
Phone (218) 365-3194
Other providers in Ely, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.