John Joseph Dudek Jr., MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

3293 Issued in NV

Practice address

2020 Goldring Ave
#506
Las Vegas, NV 89106-4060

Phone

(702) 382-7055

Fax

(702) 382-9935

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1063230290
  NPD (past)
• Valley Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1396436630
  NPD (past)
• Valley Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1417947490
  NPD (past)
• Valley Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1598479602
  NPD (past)
• Valley Hospital Medical Center

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1770150914
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1316904055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "#506",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064060",
            "telephone_number": "702-382-7055",
            "fax_number": "702-382-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE",
            "address_2": "#506",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064060",
            "telephone_number": "702-382-7055",
            "fax_number": "702-382-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "NV",
            "license": "3293",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "3293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002008",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Duda
• Portia Duda
• Blair Kaichen Duddy, MD
• Anastasia Ruth Dude, BCBA
• John Joseph Dudek, D.D.S., M.D.
• Noor Dudekula, RPH
• Amiben Dudhia, APRN
• Cameron Mitchell Dudley, D.C.
• Erik Dudley
• Jeannetta Dudley

• Urology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Urology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.