Active NPI
Vijay Chopra, DDS
- General Practice Dentistry
- Elk Grove, CA
National Provider Identifier
1396925327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56816
- Practice address
- 9184 E Stockton Blvd
Elk Grove, CA 95624-9510 - Phone
- (916) 714-3195
- NPI assigned
- Nov 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12158 | MN | |
| General Practice Dentistry | 1223G0001X | 56816 | CA | Primary |
Addresses
Primary practice location
9184 E Stockton Blvd
Elk Grove, CA 95624-9510
Mailing address
9184 E Stockton Blvd
Elk Grove, CA 95624-9510
Phone (916) 686-1101
Other practice location 1
21343 Archibald Rd
Deerwood, MN 56444
Phone (218) 534-3141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151231001200 | MN | Order and Referring Only - Dentist | 8325340755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56816 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Smiles Corporation PA | Past | Accepting new patients | |
| Deerwood Dental, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Deerwood, MN
- NPI 1730262585
-
- Clinic/Center
- Deerwood, MN
- NPI 1043567357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1396925327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9184 E STOCKTON BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956249510",
"telephone_number": "916-686-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9184 E STOCKTON BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956249510",
"telephone_number": "916-714-3195"
}
],
"practiceLocations": [
{
"address_1": "21343 Archibald Rd",
"address_purpose": "LOCATION",
"city": "Deerwood",
"state": "MN",
"postal_code": "56444",
"country_code": "US",
"telephone_number": "218-534-3141",
"fax_number": "218-534-3949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOPRA",
"first_name": "VIJAY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "12158",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.