Active NPI
Alex Prokopenko, DDS
- Oral and Maxillofacial Surgery (Dentist)
- El Paso, TX
National Provider Identifier
1265362339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- ETN1300
- Practice address
- 130 Rick Francis St
El Paso, TX 79905-2841 - Phone
- (915) 215-6184
- NPI assigned
- May 21, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ETN1300 | TX | Primary |
Addresses
Primary practice location
130 Rick Francis St
El Paso, TX 79905-2841
Mailing address
7232 Brookfalls Ter
Baltimore, MD 21209-1645
Phone (443) 340-8131
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
| License | State | Type | Specialty |
|---|---|---|---|
| ETN1300 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1265362339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7232 BROOKFALLS TER",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091645",
"telephone_number": "443-340-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 RICK FRANCIS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052841",
"telephone_number": "915-215-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKOPENKO",
"first_name": "ALEX",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "ETN1300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.