Active NPI
Eugenia Prokopets, D.D.S. M.S.D
- Periodontics
- Chevy Chase, MD
National Provider Identifier
1922395144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 16056
- Practice address
- 5454 Wisconsin Ave
Suite 1550
Chevy Chase, MD 20815-6901 - Phone
- (301) 652-0939
- NPI assigned
- Jul 8, 2011
- Last updated
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16056 | MD | Primary |
Addresses
Primary practice location
5454 Wisconsin Ave
Suite 1550
Chevy Chase, MD 20815-6901
Mailing address
4440 Willard Ave
Apt 1117
Chevy Chase, MD 20815-3611
Phone (301) 652-0939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220131001733 | MD | Order and Referring Only - Dentist | 7911201652 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16056 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1922395144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 WILLARD AVE",
"address_2": "APT 1117",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153611",
"telephone_number": "301-652-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 1550",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208156901",
"telephone_number": "301-652-0939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKOPETS",
"first_name": "EUGENIA",
"name_prefix": "Dr.",
"credential": "D.D.S. M.S.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "16056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.