Oleg Prokopenko, DN 28013

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DN28013 Issued in FL

Practice address

8940 N Kendall Dr Ste 604E
Miami, FL 33176-2175

Phone

(305) 595-1905

Fax

(305) 595-2219

NPI assigned

Apr 9, 2018

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Vision Surgical Arts, LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Saint Louis, MO
  • NPI 1366039075
  Medicare reassignment NPD
• Clarkson Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Chesterfield, MO
  • NPI 1114498946
  NPD (past)
• Michael W. Noble, DMD, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Eureka, MO
  • NPI 1356508758
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1841797545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 604E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762175",
            "telephone_number": "305-595-1905",
            "fax_number": "305-595-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 604E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762175",
            "telephone_number": "305-595-1905",
            "fax_number": "305-595-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOPENKO",
        "first_name": "OLEG",
        "credential": "DN 28013",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN28013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Michelle Prohias
• Project Access Foundation
• Project Access Foundation Inc
• Project Access Foundation Inc
• Project Independence at Home
• Alberto Prokopetz, MD
• Elizabeth Prol, APRN
• Prolife Medical & Diagnostic Inc
• Prolive Medical Research Corp
• Zoraida Proll de la Fe

• Oral & Maxillofacial Surgery (D.M.D.) in Miami, FL
• Providers in Miami, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.