Individual provider Active NPI

John James Stropko, D.D.S.

  • Endodontics
  • Prescott, AZ
National Provider Identifier
1073733481
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
AZ 1668 Issued in AZ
Practice address
14770 N Brenda Rd
Prescott, AZ 86305-5615
Phone
(602) 617-6767
Fax
(928) 778-5450
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X AZ 1668 AZ Primary

Addresses

Primary practice location

14770 N Brenda Rd
Prescott, AZ 86305-5615

Mailing address

14770 N Brenda Rd
Prescott, AZ 86305-5615
Phone (602) 617-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AZ 1668AZMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1073733481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14770 N BRENDA RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055615",
            "telephone_number": "602-617-6767",
            "fax_number": "928-778-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14770 N BRENDA RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055615",
            "telephone_number": "602-617-6767",
            "fax_number": "928-778-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROPKO",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "AZ 1668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.