Individual provider Active NPI

Vijay Chopra, DDS

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1396925327
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56816 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231001200 MN Order and Referring Only - DentistPractitioner - Dentist 8325340755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56816CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.