Individual provider Active NPI

Benjamin Covington

  • General Practice Dentistry
  • Brighton, MI
National Provider Identifier
1689230799
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901600135 Issued in MI
Practice address
2358 Genoa Business Park Dr
Brighton, MI 48114-7366
Phone
(810) 227-4111
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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 2901600135 MI Primary

Addresses

Primary practice location

2358 Genoa Business Park Dr
Brighton, MI 48114-7366

Mailing address

2358 Genoa Business Park Dr
Brighton, MI 48114-7366
Phone (810) 227-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901600135MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Covington Dental PLLC Current Accepting new patients
Michael Page, DDS, PC PastSince Dec 27, 2020 Accepting new patients
Kelly Family and Cosmetic Dentistry PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1689230799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 GENOA BUSINESS PARK DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147366",
            "telephone_number": "810-227-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 GENOA BUSINESS PARK DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147366",
            "telephone_number": "810-227-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.