Individual provider Active NPI

Clinton Matthew Covert, DDS

  • Dentist
  • Clermont, FL
National Provider Identifier
1629563531
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN29848 Issued in FL
Practice address
2612 S Hwy 27
Clermont, FL 34711-6521
Phone
(407) 965-0090
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN29848 FL Primary
Dentist 122300000X 12012965A IN

Addresses

Primary practice location

2612 S Hwy 27
Clermont, FL 34711-6521

Mailing address

656 Pisa Pass
Davenport, FL 33897-7452
Phone (513) 370-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180731002766 IN Order and Referring Only - DentistPractitioner - Dentist 7719235241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN29848FLMDDentist
12012965AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1629563531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 PISA PASS",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338977452",
            "telephone_number": "513-370-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 S HWY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116521",
            "telephone_number": "407-965-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVERT",
        "first_name": "CLINTON",
        "middle_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29848",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012965A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.