Sally Pope Chrystal, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D10862 Issued in MN

Practice address

6949 Valley Creek Rd
Suite 100
Woodbury, MN 55125-2253

Phone

(651) 731-1054

Fax

(651) 731-2183

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Valley Creek Family Dentistry

  • General Practice Dentistry
  • Woodbury, MN
  • NPI 1972760098
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487868113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 MCDONALD DRIVE OVERLOOK",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822147",
            "telephone_number": "651-439-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 VALLEY CREEK RD",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252253",
            "telephone_number": "651-731-1054",
            "fax_number": "651-731-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSTAL",
        "first_name": "SALLY",
        "middle_name": "POPE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D10862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Chmielewski, CNS
• Emily Moe Christensen, PT
• Halaina Irene Christensen, LICSW
• Lydia Ann Christianson, PSYD LP
• Emma Christopher, DPT
• Andrea Y Chung
• Elissa Chung
• Wen-Wei Chung, MD
• Sarah Marie Chyzyk
• Daniel Dino Cianni, D.C.

• Dentist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.