Active NPI
John Joseph Prokosch, D.C.
- Chiropractor
- Sleepy Eye, MN
National Provider Identifier
1124292909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4452
- Practice address
- 232 Main St E
Sleepy Eye, MN 56085-1690 - Phone
- (507) 766-2258
- NPI assigned
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4452 | MN | Primary |
| Chiropractor | 111N00000X | CH 9133 | FL |
Addresses
Primary practice location
232 Main St E
Sleepy Eye, MN 56085-1690
Mailing address
232 Main St E
Sleepy Eye, MN 56085-1690
Phone (507) 766-2258
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4452 | MN | MD | Mental Health Counselor |
| CH 9133 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1124292909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 MAIN ST E",
"city": "SLEEPY EYE",
"state": "MN",
"postal_code": "560851690",
"telephone_number": "507-766-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 MAIN ST E",
"city": "SLEEPY EYE",
"state": "MN",
"postal_code": "560851690",
"telephone_number": "507-766-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKOSCH",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4452",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sleepy Eye, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.