Active NPI
Alejandro Rodriguez Kovacs, DDS
- Prosthodontics
- Edina, MN
National Provider Identifier
1962646422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D12641
- Practice address
- 5100 Eden Ave
Ste 209
Edina, MN 55436-2337 - Phone
- (952) 929-0641
- Fax
- (952) 929-1802
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D12641 | MN | Primary |
Addresses
Primary practice location
5100 Eden Ave
Ste 209
Edina, MN 55436-2337
Mailing address
5100 Eden Ave
Ste 209
Edina, MN 55436-2337
Phone (952) 929-0641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 16, 2016 through Aug 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12641 | MN | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family & Cosmetic Gentle Dentistry, LTD. | Prosthodontics | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Edina, MN
- NPI 1952399685
Prosthodontics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240876800000",
"number": "1962646422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 EDEN AVE",
"address_2": "STE 209",
"city": "EDINA",
"state": "MN",
"postal_code": "554362337",
"telephone_number": "952-929-0641",
"fax_number": "952-929-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 EDEN AVE",
"address_2": "STE 209",
"city": "EDINA",
"state": "MN",
"postal_code": "554362337",
"telephone_number": "952-929-0641",
"fax_number": "952-929-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ KOVACS",
"first_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-28",
"last_updated": "2009-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MN",
"license": "D12641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.