Active NPI
Jonathan Blaine Covington, DDS
- Dentist
- Little Rock, AR
National Provider Identifier
1417486754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4186
- Practice address
- 820 N University Ave
Little Rock, AR 72205-2920 - Phone
- (501) 664-1733
- NPI assigned
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 4186 | AR | Primary |
Addresses
Primary practice location
820 N University Ave
Little Rock, AR 72205-2920
Mailing address
20920 Presley Dr
Roland, AR 72135-9236
Phone (501) 743-6095
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 |
|---|---|---|---|
| 4186 | AR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1417486754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20920 PRESLEY DR",
"city": "ROLAND",
"state": "AR",
"postal_code": "721359236",
"telephone_number": "501-743-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052920",
"telephone_number": "501-664-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "JONATHAN",
"middle_name": "BLAINE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-09",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "4186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.