Myra I Covarrubias, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019008 Issued in MI

Practice address

3003 W. Dickman Rd.
Springfield, MI 49037

Phone

(269) 962-1536

Fax

(269) 962-1950

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covarrubias Family Dentistry PLLC

  • Dental Clinic/Center
  • Springfield, MI
  • NPI 1386509131
  NPD Authorized official
• Robert L Houghtaling Jr DDS PLLC

  • General Practice Dentistry
  • Springfield, MI
  • NPI 1093252280
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1508005190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W. DICKMAN RD",
            "city": "SPRINGFIELD",
            "state": "MI",
            "postal_code": "49037",
            "telephone_number": "269-962-1536",
            "fax_number": "269-962-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W. DICKMAN RD.",
            "city": "SPRINGFIELD",
            "state": "MI",
            "postal_code": "49037",
            "telephone_number": "269-962-1536",
            "fax_number": "269-962-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "MYRA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talona Sue Carpenter-Schultz, N.P.
• Tammy Sue Cassel, CNA
• Kenneth W Cooper, DC
• County of Calhoun (Calhoun County Public Health Department)
• Covarrubias Family Dentistry PLLC
• Tracey Cummings
• Richard Diene
• Melissa Ann Ehart, LPC, CAADC, CCS SAP
• Evergreen Manor Senior Care Centre, LLC (Evergreen Senior Care and Rehab Center)
• Functional Kids Therapy Center LLC (Functional Kids)

• General Practice Dentistry in Springfield, MI
• Providers in Springfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.

Verify at the official NPI Registry.