Covington Family Dental, Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COVINGTON FAMILY DENTAL, INC

Practice address

300 Pike St
Covington, KY 41011-2127

Phone

(859) 491-7453

NPI assigned

Sep 8, 2010

Last updated

Nov 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Qun Wang

Title

President

Phone

(847) 828-0213

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danny Lee Collins, DMD

  • Dentist
  • Covington, KY
  • NPI 1164697306
  NPD (past)
• Tonya Laverne Jones, DDS

  • Dentist
  • Covington, KY
  • NPI 1093867624
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1043527351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 GAIL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891141",
            "telephone_number": "847-828-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PIKE ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112127",
            "telephone_number": "859-491-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON FAMILY DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "QUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-828-0213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100138020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen B Cook, APRN
• Phyllis Cornelius, LPN
• Sarah Cornett
• Covington Chiropractic & Rehab Center
• Covington Dental PSC
• Covington Independent School District
• Ashley Joyce Craig
• Jason Crook, TCADC
• Joseph Cropenbaker, PHARMD
• Michael William Crossman, MD

• Dentist in Covington, KY
• Providers in Covington, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.