John J. Dudek Jr. M.D. PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

3293 Issued in NV

Legal business name

JOHN J. DUDEK JR. M.D. PC

Doing business as

Accredited Urological Associates

Practice address

2020 Goldring Ave
506
Las Vegas, NV 89106-4060

Phone

(702) 382-7055

Fax

(702) 382-9935

NPI assigned

Mar 19, 2007

Last updated

Sep 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Dudek Jr Jr., M.D.

Title

President

Phone

(702) 382-7055

Specialties & licenses 1

Addresses

Other names 1

• ACCREDITED UROLOGICAL ASSOCIATES Doing business as

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1629192455",
    "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": {
        "organization_name": "JOHN J. DUDEK JR. M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "DUDEK JR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-382-7055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "3293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCREDITED UROLOGICAL ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.