Crystal Dawn Silas, MD
Individual provider Active NPI Family Medicine Physician · Roseau, MN
NPI 1790722635 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1790722635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 45860 (MN)
- Practice address
- 715 Delmore Dr
Roseau, MN 56751-1534 - Phone
- (218) 463-2500
- NPI assigned
- May 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45860 | MN | Yes |
| Family Medicine Physician | 207Q00000X | 46000 | WI |
Addresses
Primary practice location
715 Delmore Dr
Roseau, MN 56751-1534
Mailing address
1949 E Evergreen CT
Visalia, CA 93292-1499
Phone (559) 288-9004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34444100 | Medicaid | WI |
Other providers in Roseau, MN
- Roseau/Warroad Eye Clinic, P.a.
- Philip Bruce Sallberg
- Laura Saltzman
- Steven Semingson
- Shopko Stores Operating Co LLC
- David Simmons
- Jessica Lynn Simmons
- Stephen Michael Speltz
- Anna Stein
- Clyde Richard Stephens
All providers in Roseau, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.