Covington Dental PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COVINGTON DENTAL PSC

Practice address

300 Pike St
Covington, KY 41011

Phone

(859) 491-7453

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rodney Brent Fultz, DMD

Title

Sec Treas

Phone

(859) 491-7453

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1326198326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PIKE ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-491-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PIKE ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "41011",
            "telephone_number": "859-491-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON DENTAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "859-491-7453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61942470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen B Cook, APRN
• Christine A Corcoran
• Phyllis Cornelius, LPN
• Sarah Cornett
• Covington Chiropractic & Rehab Center
• Covington Family Dental, Inc
• Covington Independent School District
• 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 Dec 18, 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.