Individual provider Active NPI

Thomas Floyd Covington, D.D.S.

  • General Practice Dentistry
  • Plymouth, MI
National Provider Identifier
1558475798
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14560 Issued in MI
Practice address
360 S Harvey St
Plymouth, MI 48170-1606
Phone
(734) 453-2180
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14560 MI Primary

Addresses

Primary practice location

360 S Harvey St
Plymouth, MI 48170-1606

Mailing address

360 S Harvey St
Plymouth, MI 48170-1606
Phone (734) 453-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160511000938 MI Order and Referring Only - DentistPractitioner - Dentist 1456640655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14560MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Covington Dental PLLC CurrentSince Feb 26, 2023 Accepting new patients
Thomas F Covington DDS CurrentSince Dec 22, 2020 Accepting new patients

Locations

360 S Harvey St
Plymouth, MI 48170
Phone (734) 453-2180

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1558475798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S HARVEY ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701606",
            "telephone_number": "734-453-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S HARVEY ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701606",
            "telephone_number": "734-453-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "THOMAS",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.