Active NPI
Danny Lee Collins, DMD
- Dentist
- Covington, KY
National Provider Identifier
1164697306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6338
- Practice address
- 300 Pike St
Covington Dental
Covington, KY 41011 - Phone
- (859) 491-7453
- NPI assigned
- Apr 29, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6338 | KY | Primary |
Addresses
Primary practice location
300 Pike St
Covington Dental
Covington, KY 41011
Mailing address
300 Pike St
Covington Dental
Covington, KY 41011
Phone (859) 491-7453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60063385 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6338 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covington Family Dental, Inc | Dentist | Past | Accepting new patients |
| Covington Dental PSC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Covington, KY
- NPI 1326198326
-
- Dentist
- Covington, KY
- NPI 1043527351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1164697306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PIKE ST",
"address_2": "COVINGTON DENTAL",
"city": "COVINGTON",
"state": "KY",
"postal_code": "41011",
"telephone_number": "859-491-7453",
"fax_number": "859-491-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PIKE ST",
"address_2": "COVINGTON DENTAL",
"city": "COVINGTON",
"state": "KY",
"postal_code": "41011",
"telephone_number": "859-491-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DANNY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "6338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60063385",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.