Covington DMD PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COVINGTON DMD PLLC

Practice address

817 E Morehead St Ste 250
Charlotte, NC 28202-2725

Phone

(704) 585-8580

Fax

(704) 585-8581

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Beth Illsley

Title

Director of Insurance

Phone

(864) 282-1935

Specialties & licenses 1

Addresses

Other names 1

• Carolina TMJ and Sleep Solutions Doing business as

Tax ID family

Carolina TMJ and Sleep Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Covington DMD PLLC

  • Customized Equipment (DME)
  • Charlotte, NC
  • NPI 1568226934
  NPD tax ID

Locations

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1649029372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEMORIAL DRIVE EXT STE 400",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511850",
            "telephone_number": "864-282-1935",
            "fax_number": "864-751-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E MOREHEAD ST STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022725",
            "telephone_number": "704-585-8580",
            "fax_number": "704-585-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "ILLSLEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "864-282-1935",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina TMJ and Sleep Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covenant in-Home Care, LLC
• Lindsay Allison Cover, PA
• Linda Renee Coverdale, P.A.
• Covilab
• Covington DMD PLLC
• Kira Ari Covington-McCormick, MSW, LCSW-A
• Antonio Covington
• Brooklyn Covington, IBCLC, RLC
• Faison Covington, LCSW
• Gerald Covington

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.