Covington Pike Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

2952 Issued in TN

Legal business name

COVINGTON PIKE DENTAL CLINIC

Practice address

3594 Covington Pike
Memphis, TN 38128-3926

Phone

(901) 377-6800

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Fernando C Heros, DDS

Title

Owner

Phone

(901) 377-6800

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jason Austin Glick, DDS

  • Dentist
  • Memphis, TN
  • NPI 1376157396
  NPD (past)
• Fred C Heros, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1134117179
  NPD (past)
• Christopher Wilson

  • Dentist
  • Memphis, TN
  • NPI 1811377625
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1326344458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283926",
            "telephone_number": "901-377-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283926",
            "telephone_number": "901-377-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON PIKE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "HEROS",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-377-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "2952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtesy Transportation
• Catherine Courtney, P.T.
• Stephanie Coveart
• Covenant Care Health Services, LLC.
• Covermymeds Pharmacy LLC
• Covington Pike Medical Clinic, P.C.
• Callie Courtney Covington, PA-C
• Chris Covington, DO
• John Stansill Covington III, DDS
• Valarie Valentine Covington, BCBA

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.