NPIMap

Organization Active NPI

Vern J. Prochaska, M.D., LTD

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1174734081
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7534 Issued in NV
Legal business name
VERN J. PROCHASKA, M.D., LTD
Practice address
5546 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7692
Phone
(702) 795-2622
Fax
(702) 453-2622
NPI assigned
May 24, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Vern J Prochaska, MD
Title
President
Phone
(702) 795-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7534 NV Primary

Addresses

Primary practice location

5546 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7692

Mailing address

5546 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-7692
Phone (702) 795-2622

National Provider Directory

National Provider Directory

Locations

5546 S Fort Apache Rd
Las Vegas, NV 89148
Phone (702) 795-2622

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1174734081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 S FORT APACHE RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487692",
            "telephone_number": "702-795-2622",
            "fax_number": "702-453-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 S FORT APACHE RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487692",
            "telephone_number": "702-795-2622",
            "fax_number": "702-453-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERN J. PROCHASKA, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "PROCHASKA",
        "authorized_official_first_name": "VERN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-795-2622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "7534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.