Alan Kenneth Prochot, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019018410 Issued in IL

Practice address

5638 W Monee Manhattan Rd
Monee, IL 60449-9611

Phone

(708) 534-1077

Fax

(708) 534-3327

NPI assigned

Apr 6, 2007

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632

  IL, IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1780706010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 W MONEE MANHATTAN RD",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604499611",
            "telephone_number": "708-534-1077",
            "fax_number": "708-534-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5638 W MONEE MANHATTAN RD",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604499611",
            "telephone_number": "708-534-1077",
            "fax_number": "708-534-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHOT",
        "first_name": "ALAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019018410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Physical Therapy and Rehabilitation P.C.
• Lotanna Nwandu, MD
• Ollietree Health Care
• Laura Para
• Lauren Irene Pasek, DT
• Purple Path (At Aunty's House)
• Kristen Marie Rakis
• Angela Dionna Reaves
• Kim Lashawn Reese, REGISTERED DIETITIAN
• David Robertson

• Dentist in Monee, IL
• Providers in Monee, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.