Individual provider Active NPI

Elizabeta Cokovska, DMD; PROSTHODONTIST

  • Prosthodontics
  • Palm Coast, FL
National Provider Identifier
1164874962
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
21687 Issued in FL
Practice address
180 Pinnacles Dr
Palm Coast, FL 32164-2596
Phone
(386) 437-5253
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 21687 FL Primary

Addresses

Primary practice location

180 Pinnacles Dr
Palm Coast, FL 32164-2596

Mailing address

1391 Chaparral LN
Winter Springs, FL 32708-4853
Phone (407) 965-9967

Other names 1

  • Elizabeta Coceva Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21687FLMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Makris Dental LLC Prosthodontics Past Accepting new patients

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1164874962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 CHAPARRAL LN",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084853",
            "telephone_number": "407-965-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PINNACLES DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642596",
            "telephone_number": "386-437-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKOVSKA",
        "first_name": "ELIZABETA",
        "credential": "DMD; PROSTHODONTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "21687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETA",
            "last_name": "COCEVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.