Active NPI
Brent Bevins, DMD
- General Practice Dentistry
- Covington, KY
National Provider Identifier
1780683094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4435
- Practice address
- 1132 Greenup St
Covington, KY 41011-3256 - Phone
- (859) 655-6100
- Fax
- (859) 655-6125
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4435 | KY | Primary |
Addresses
Primary practice location
1132 Greenup St
Covington, KY 41011-3256
Mailing address
1132 Greenup St
Covington, KY 41011-3256
Phone (859) 655-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60044351 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4435 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780683094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1132 GREENUP ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113256",
"telephone_number": "859-655-6100",
"fax_number": "859-655-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1132 GREENUP ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410113256",
"telephone_number": "859-655-6100",
"fax_number": "859-655-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVINS",
"first_name": "BRENT",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "4435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60044351",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.