Neil Ronald Covin, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D7407 Issued in MN

Practice address

3401 Wooddale Ave S
St Louis Park, MN 55416-2340

Phone

(952) 920-9209

Fax

(952) 920-0418

NPI assigned

Dec 19, 2006

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)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902969991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 WOODDALE AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162340",
            "telephone_number": "952-920-9209",
            "fax_number": "952-920-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 WOODDALE AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162340",
            "telephone_number": "952-920-9209",
            "fax_number": "952-920-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVIN",
        "first_name": "NEIL",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MN",
            "license": "D7407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Jeff Thomas Counters, DO
• Lawrence Harold Covin, D.D.S.
• Merrideth Cox
• Caitlin Sarah Coyer, PHD, LP
• Katherine Coyle
• Elizabeth Coyne, OTR/L
• Melissa Craft, PA-C

• Periodontics in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Periodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.