NPIMap

Organization Active NPI

Olga Prokopets, D.D.S. P.C.

  • Dental Clinic/Center
  • Glendale, AZ
National Provider Identifier
1417161308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OLGA PROKOPETS, D.D.S. P.C.
Practice address
2401 W. Glendale Avenue, Suite 202
Glendale, AZ 85021
Phone
(602) 249-4404
Fax
(602) 249-4416
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Olga ProkopetsNPI 1477636231
Title
Owner
Phone
(602) 249-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2401 W. Glendale Avenue, Suite 202
Glendale, AZ 85021

Mailing address

2401 W. Glendale Avenue, Suite 202
Glendale, AZ 85021
Phone (602) 249-4404

National Provider Directory

National Provider Directory

Locations

2401 W Glendale Ave
Ste 202
Phoenix, AZ 85021
Phone (602) 249-4404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417161308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W. GLENDALE AVENUE, SUITE 202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-249-4404",
            "fax_number": "602-249-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W. GLENDALE AVENUE, SUITE 202",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-249-4404",
            "fax_number": "602-249-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA PROKOPETS, D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROKOPETS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-249-4404",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.