Active NPI
Rachael Prokes
- Oral and Maxillofacial Surgery (Dentist)
- Tucson, AZ
National Provider Identifier
1790167708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3623
- Practice address
- 839 W Congress St
Tucson, AZ 85745-2819 - Phone
- (520) 670-3909
- Fax
- (520) 309-2560
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3623 | OH | Primary |
Addresses
Primary practice location
839 W Congress St
Tucson, AZ 85745-2819
Mailing address
839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909
Other practice location 1
305 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 688-3763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 10, 2020 through Aug 10, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casas Adobes Oms PLLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Tucson, AZ
- NPI 1114125267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740787200000",
"number": "1790167708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 W CONGRESS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452819",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
}
],
"practiceLocations": [
{
"address_1": "305 W 12th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101267",
"country_code": "US",
"telephone_number": "614-688-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROKES",
"first_name": "RACHAEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2025-03-01",
"certification_date": "2025-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OH",
"license": "3623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Progressive Medical Associates, PLLC
- Progressive Medical Associates, PLLC
- Project Insight
- Project Insight Inc
- Project Recovery of Arizona, Inc. (Nova Via Tucson)
- Promed Services LLC (Friendly Phlebotomy Service)
- Promoting Positivity
- Prosano Health Solutions, Inc. (Prosano Health)
- Prosano Health Solutions, Inc. (Prosano Health)
- Scott Proschek, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.