OrganizationActive
Randy J Kovicak, DDS, PLLC
NPI 1528547668 · Dentist · Norton Shores, MI
Randy J Kovicak, DDS, PLLC is a Dentist organization in Norton Shores, MI (NPI 1528547668).
Provider details
- NPI number
- 1528547668
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Andrew Matta, Owner(231) 739-1300
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
935 W Norton Ave Ste B
Norton Shores, MI 49441-4195
Phone: (231) 739-1300
Street-level locationGet directions
Mailing address
11 S Mill St Ste 200
New Castle, PA 16101-3680
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2018-08-09
Frequently asked questions
- What is Randy J Kovicak, DDS, PLLC's NPI number?
- Randy J Kovicak, DDS, PLLC's National Provider Identifier (NPI) is 1528547668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randy J Kovicak, DDS, PLLC?
- Randy J Kovicak, DDS, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Randy J Kovicak, DDS, PLLC located?
- Randy J Kovicak, DDS, PLLC's practice location on file with NPPES is 935 W Norton Ave Ste B, Norton Shores, MI 49441-4195.
- What is Randy J Kovicak, DDS, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Randy J Kovicak, DDS, PLLC is (231) 739-1300.
- Who is the authorized official for Randy J Kovicak, DDS, PLLC?
- The authorized official listed on Randy J Kovicak, DDS, PLLC's NPPES record is Andrew Matta, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randy J Kovicak, DDS, PLLC's NPI active?
- Yes — Randy J Kovicak, DDS, PLLC's NPI (1528547668) is active in the NPPES registry as of the last update on 2018-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.