Individual provider Active NPI

Elyse Michelle Cop, RDHAP

  • Advanced Practice Dental Therapist
  • Rancho Mission Viejo, CA
National Provider Identifier
1295512721
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
1016 Issued in CA
Practice address
92 Esencia Dr Unit 835
Rancho Mission Viejo, CA 92694-1363
Phone
(949) 933-0490
NPI assigned
Sep 8, 2023
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 27213 CA
Advanced Practice Dental Therapist 125K00000X 1016 CA Primary

Addresses

Primary practice location

92 Esencia Dr Unit 835
Rancho Mission Viejo, CA 92694-1363

Mailing address

153 Patria
Rancho Mission Viejo, CA 92694-1392
Phone (949) 933-0490

Other practice location 1

153 Patria
Rancho Mission Viejo, CA 92694-1392
Phone (949) 933-0490

Other names 1

  • Ms. Elyse Michelle Kloster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27213CAMDDental Hygienist
1016CAMDAdvanced Practice Dental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1295512721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 PATRIA",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941392",
            "telephone_number": "949-933-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 ESENCIA DR UNIT 835",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941363",
            "telephone_number": "949-933-0490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Patria",
            "address_purpose": "LOCATION",
            "city": "Rancho Mission Viejo",
            "state": "CA",
            "postal_code": "926941392",
            "country_code": "US",
            "telephone_number": "949-933-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COP",
        "first_name": "ELYSE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "27213",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "KLOSTER",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.