John Adams Prokup, DVM, MPH

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

2376-A Issued in NV

Practice address

8400 S Eastern Ave
Las Vegas, NV 89123-2816

Phone

(702) 361-5850

NPI assigned

Oct 10, 2020

Last updated

Oct 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1417555673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8944 DULCIMER LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891233075",
            "telephone_number": "310-717-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232816",
            "telephone_number": "702-361-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKUP",
        "first_name": "JOHN",
        "middle_name": "ADAMS",
        "credential": "DVM, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NV",
            "license": "2376-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Other Specialist/Technologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.