Edward G Covert Jr., D.D.S., DME

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6662 Issued in NC

Practice address

400 Dolphin Dr
Jacksonville, NC 28546

Phone

(910) 353-5171

Fax

(910) 353-8810

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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.

• Edward Covert Jr DDS Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1942359997

  General Practice

  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2018.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1962551184",
    "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": {
        "last_name": "COVERT",
        "first_name": "EDWARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., DME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59-05672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Onslow
• County of Onslow
• County of Onslow
• County of Onslow
• County of Onslow
• Ashley Covington-Wright, LCSW-A
• Elise Cowart, MSW
• Janis Kellum Cox, CNM,MSN
• Mark Christopher Cox, MA, NCC, LPC
• Kathryn Gabrielle Coyne, CLD

• All providers in Jacksonville, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.