NPIMap

Organization Active NPI

Elizabeth J Covino DDS PC

  • General Practice Dentistry
  • Everett, MA
National Provider Identifier
1043305725
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16629 Issued in MA
Legal business name
ELIZABETH J COVINO DDS PC
Practice address
345 Main St
Everett, MA 02149
Phone
(617) 389-3040
Fax
(617) 389-3527
NPI assigned
Oct 4, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth J Covino, DDSNPI 1720268022
Title
Dentist Owner
Phone
(617) 389-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16613 MA
General Practice Dentistry 1223G0001X 16629 MA Primary

Addresses

Primary practice location

345 Main St
Everett, MA 02149

Mailing address

345 Main St
Everett, MA 02149
Phone (617) 389-3040

Other names 1

  • Everett Dental Associates Other name

National Provider Directory

National Provider Directory

Locations

345 Main St
Everett, MA 02149
Phone (617) 389-3040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1043305725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-3040",
            "fax_number": "617-389-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "02149",
            "telephone_number": "617-389-3040",
            "fax_number": "617-389-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH J COVINO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "COVINO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST  OWNER",
        "authorized_official_telephone_number": "617-389-3040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16613",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everett Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.