Active NPI
Mikhail Y Prokopets, DDS
- General Practice Dentistry
- Daytona Beach, FL
National Provider Identifier
1679582761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN30877
- Practice address
- 1540 Cornerstone Blvd Ste 100
Daytona Beach, FL 32117-7144 - Phone
- (386) 251-9475
- NPI assigned
- Aug 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN30877 | FL | Primary |
| General Practice Dentistry | 1223G0001X | 4847 | AZ |
Addresses
Primary practice location
1540 Cornerstone Blvd Ste 100
Daytona Beach, FL 32117-7144
Mailing address
28260 N Tatum Blvd
Ste. a-2
Cave Creek, AZ 85331-2362
Other practice location 1
28260 N Tatum Blvd
Ste. A-2
Cave Creek, AZ 85331-2362
Phone (480) 515-1464
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 |
|---|---|---|---|
| 4847 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eicon Dental, LLC | General Practice | Past | Accepting new patients |
| Continental Dental Care Mill Avenue LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Tempe, AZ
- NPI 1316167216
-
- General Practice Dentistry
- Tempe, AZ
- NPI 1184825267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1679582761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28260 N TATUM BLVD",
"address_2": "STE. A-2",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853312362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 CORNERSTONE BLVD STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177144",
"telephone_number": "386-251-9475"
}
],
"practiceLocations": [
{
"address_1": "28260 N Tatum Blvd",
"address_2": "Ste. A-2",
"address_purpose": "LOCATION",
"city": "Cave Creek",
"state": "AZ",
"postal_code": "853312362",
"country_code": "US",
"telephone_number": "480-515-1464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROKOPETS",
"first_name": "MIKHAIL",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-06",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN30877",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "4847",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.