Active NPI
Jeff Kover, D.D.S.
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1487668604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30020433
- Practice address
- 3545 Olentangy River Rd Ste 128
Columbus, OH 43214-3907 - Phone
- (614) 300-0748
- Fax
- (614) 360-1370
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30020433 | OH | Primary |
Addresses
Primary practice location
3545 Olentangy River Rd Ste 128
Columbus, OH 43214-3907
Mailing address
1329 Cherry Way Dr Ste 300
Gahanna, OH 43230-6777
Phone (614) 300-0748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240910003892 | OH | Order and Referring Only - Dentist | 5991245516 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30020433 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1487668604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 CHERRY WAY DR STE 300",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306777",
"telephone_number": "614-300-0748",
"fax_number": "614-360-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 OLENTANGY RIVER RD STE 128",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143907",
"telephone_number": "614-300-0748",
"fax_number": "614-360-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVER",
"first_name": "JEFF",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30020433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.