James R. Prukop, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34152 Issued in TX

Practice address

608 Travis Street
George West, TX 78022

Phone

(361) 447-1000

NPI assigned

Jul 31, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dr. Roel Garza and Associates Family Dentistry

  • General Practice Dentistry
  • Alice, TX
  • NPI 1326172834
  NPD (past)
• Garza, Garcia & Garcia Dentistry Partnership

  • General Practice Dentistry
  • Alice, TX
  • NPI 1285907725
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1952889115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "GEORGE WEST",
            "state": "TX",
            "postal_code": "780220350",
            "telephone_number": "361-447-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 TRAVIS STREET",
            "city": "GEORGE WEST",
            "state": "TX",
            "postal_code": "78022",
            "telephone_number": "361-447-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUKOP",
        "first_name": "JAMES",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2022-04-14",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrance Leroy Meineke, PA-C
• Raul Montez
• Letitia Morgan, OTA
• Thuy Pete Nguyen, D.C.
• Allison Odegard, IBCLC
• Manuel Rios
• Sunni Rios
• Andrea Ruiz
• Patricia Carolyn Spiekerman, DDS
• Uvalde County Hospital Authority

• General Practice Dentistry in George West, TX
• Providers in George West, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.