Individual provider Active NPI

John Alexander Prokopiak, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1154408201
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7143 Issued in FL
Practice address
4370 S Tamiami TRL Ste 235
Sarasota, FL 34231-3414
Phone
(941) 923-0907
Fax
(941) 923-4187
NPI assigned
Nov 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7143 FL Primary

Addresses

Primary practice location

4370 S Tamiami TRL Ste 235
Sarasota, FL 34231-3414

Mailing address

4816 Wood Pointe Way
Sarasota, FL 34233-3526
Phone (941) 923-0907

Other identifiers 3

IdentifierTypeStateIssuer
1425OtherVALICENSE NUMBER
5491OtherAZLICENSE NUMBER
CH7143OtherFLLICENSE NUMBER

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
CH7143FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr John Pro Inc. Chiropractor Current Accepting new patients

Locations

4370 S Tamiami Trl
Ste 235
Sarasota, FL 34231
Phone (941) 923-0907

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154408201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 WOOD POINTE WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333526",
            "telephone_number": "941-923-0907",
            "fax_number": "941-923-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 S TAMIAMI TRL STE 235",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313414",
            "telephone_number": "941-923-0907",
            "fax_number": "941-923-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOPIAK",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1425",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5491",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CH7143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.