Maggie Jane Prokovich

Primary specialty

DentistTaxonomy code 122300000X

License

DS044659 Issued in PA

Practice address

8620 Duncan Ave
Pittsburgh, PA 15237-5884

Phone

(412) 367-2250

NPI assigned

Jun 3, 2024

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

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.

• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Sharon, PA
  • NPI 1417932609
  Medicare reassignment NPD
• Primary Health Network

  • Federally Qualified Health Center (FQHC)
  • Emlenton, PA
  • NPI 1750181038
  NPD
• Dentistry for Kids

  • Dentist
  • Cranberry Township, PA
  • NPI 1013285998
  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1003657164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SKYLINE DR",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171475",
            "telephone_number": "724-944-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 DUNCAN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375884",
            "telephone_number": "412-367-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20440 Route 19",
            "address_purpose": "LOCATION",
            "city": "Cranberry Twp",
            "state": "PA",
            "postal_code": "160667543",
            "country_code": "US",
            "telephone_number": "724-772-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROKOVICH",
        "first_name": "MAGGIE",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dillon Prokop, MD
• Kayla Prokopakis-Campbell, DO
• Andrea Prokopchak
• Alexander John Prokopienko, PHARMD
• Kristeen Prokopovich, M.S. CCC/SLP
• Paige M Proksa, PA-C
• Promising Potential Services LLC
• Sarah Pronesti-Studeny
• Elizabeth Josephine Pronesti, MD
• Propel Charter School - Braddock Hills

• Dentist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.

Verify at the official NPI Registry.