Organization Active NPI

Davenport Family Dentistry, LLC

Doing business as Covington Dental Care

  • Dental Clinic/Center
  • Covington, LA
National Provider Identifier
1689814790
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5713 Issued in LA
Legal business name
DAVENPORT FAMILY DENTISTRY, LLC
Doing business as
Covington Dental Care
Practice address
604 S Tyler St
Covington, LA 70433-3346
Phone
(985) 892-2273
Fax
(985) 892-2579
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. David Franklin Davenport, DDSNPI 1891879797
Title
Owner
Phone
(985) 892-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5713 LA Primary

Addresses

Primary practice location

604 S Tyler St
Covington, LA 70433-3346

Mailing address

604 S Tyler St
Covington, LA 70433-3346
Phone (985) 892-2273

Other names 1

  • Covington Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

604 S Tyler St
Covington, LA 70433
Phone (985) 892-2273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1689814790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333346",
            "telephone_number": "985-892-2273",
            "fax_number": "985-892-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333346",
            "telephone_number": "985-892-2273",
            "fax_number": "985-892-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-892-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "5713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.