Michael Richard Clopp, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029785L Issued in PA

Practice address

20399 Route 19 Ste 110
Cranberry TWP, PA 16066-6138

Phone

(724) 776-4088

Fax

(724) 776-3955

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael R. Clopp D.M.D.

  • General Practice Dentistry
  • Cranberry Township, PA
  • NPI 1124360557
  NPD Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1285749507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20399 ROUTE 19 STE 110",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666138",
            "telephone_number": "724-776-4088",
            "fax_number": "724-776-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20399 ROUTE 19 STE 110",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666138",
            "telephone_number": "724-776-4088",
            "fax_number": "724-776-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOPP",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029785L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Chmielewski, CRNP
• Lu Y Chu, DDS
• Lisa Ciccolella
• Philip Jerome Cichon, MD
• Michelle Marie Cindrich
• Wayne E Clouse, DPM
• Cognitive Behavior Institute, LLC
• Andrea Cole
• Melissa Collins
• Colon and Rectal Wellness Center

• General Practice Dentistry in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.