Individual provider Active NPI

Kenneth Hughes Covington, D. D. S.

  • General Practice Dentistry
  • Eureka Springs, AR
National Provider Identifier
1992811673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2502 Issued in AR
Practice address
4052 E Van Buren
Suite C
Eureka Springs, AR 72632-9499
Phone
(479) 253-7689
Fax
(479) 253-5485
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2502 AR Primary

Addresses

Primary practice location

4052 E Van Buren
Suite C
Eureka Springs, AR 72632-9499

Mailing address

4052 E Van Buren
Suite C
Eureka Springs, AR 72632-9499
Phone (479) 253-7689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505002325 AR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0547589053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth H. Covington DDS General Practice Past Accepting new patients

Organizations & group practices 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992811673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN",
            "address_2": "SUITE C",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329499",
            "telephone_number": "479-253-7689",
            "fax_number": "479-253-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 E VAN BUREN",
            "address_2": "SUITE C",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329499",
            "telephone_number": "479-253-7689",
            "fax_number": "479-253-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "KENNETH",
        "middle_name": "HUGHES",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka Springs, AR

Sources for this page

Verify at the official NPI Registry.