Organization Active NPI

Edward Covert Jr DDS Family & Cosmetic Dentistry

Doing business as Family Comprehensive & Cosmetic Dentistry

  • General Practice Dentistry
  • Jacksonville, NC
National Provider Identifier
1942359997
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EDWARD COVERT JR DDS FAMILY & COSMETIC DENTISTRY
Doing business as
Family Comprehensive & Cosmetic Dentistry
Practice address
400 Dolphin Dr
Jacksonville, NC 28546
Phone
(910) 353-5171
Fax
(910) 353-8810
NPI assigned
Jan 9, 2007
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Edward G Covert, DDSNPI 1962551184
Title
Owner
Phone
(910) 353-5171

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

400 Dolphin Dr
Jacksonville, NC 28546

Mailing address

400 Dolphin Dr
Jacksonville, NC 28546-5291
Phone (910) 353-5171

Other identifiers 2

IdentifierTypeStateIssuer
8990604MedicaidNC
5905672MedicaidNC

Other names 1

  • Family Comprehensive & Cosmetic Dentistry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250815001736 NC DME Supplier - Oral Surgery - Dentist 4880193036 Practice locations: Jacksonville, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1942359997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465291",
            "telephone_number": "910-353-5171",
            "fax_number": "910-353-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOLPHIN DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-353-5171",
            "fax_number": "910-353-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD COVERT JR DDS FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "COVERT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-353-5171",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990604",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Comprehensive & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.