Alisun Elizabeth Kovach, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043019 Issued in PA

Practice address

2580 W 8TH St
Erie, PA 16505-4416

Phone

(814) 240-3667

NPI assigned

Jun 18, 2012

Sex

Female

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• 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.

• Erie Dental Company

  • Dental Clinic/Center
  • Erie, PA
  • NPI 1528768827
  NPD Authorized official
• DB Practice Management, Inc

  • General Practice Dentistry
  • Lawrence, MA
  • NPI 1831416767
  NPD (past)
• Jose L Rivera-Zayas DMD PLLC

  • Prosthodontics
  • Boston, MA
  • NPI 1679081244
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1194088971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054416",
            "telephone_number": "814-240-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054416",
            "telephone_number": "814-240-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACH",
        "first_name": "ALISUN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Kosenko, M.D.
• Kathleen Mary Kosko, SLP
• Jessica Kostelnik, LPC
• Alina Kotok, PA-C
• Antigoni Kotsiou
• Paul George Kovacs, PH D
• Stephen P Kovacs, D.O.
• Jessica N Koval, PA-C
• Joshua Ryan Kovalcin, PA-C
• Elena Kovalevich, CRNP

• General Practice Dentistry in Erie, PA
• Providers in Erie, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.