DR. STAN LAVELL COVINGTON DDS
NPI 1154478808
Dentist in Mesa, AZ

Active since January 04, 2007Opted out of Medicare · through Feb 7, 2027
2919 S ELLSWORTH RD, SUITE 141, MESA, AZ 85212(480) 307-8430(480) 307-8431 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stan Lavell Covington Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STAN LAVELL COVINGTON DDS (NPI 1154478808) is an individual dentist in Mesa, Arizona, licensed in Arizona (4675) and active in the NPI registry since January 2007. He has opted out of Medicare through February 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154478808
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. STAN LAVELL COVINGTONCredential: DDS
Location Address2919 S ELLSWORTH RD, SUITE 141Mesa, AZ 85212-2164
Mailing Address3345 E Inglewood CirMesa, AZ 85213-3265 · (480) 220-7280
Fax(480) 307-8431
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2008
NPI 1154478808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · 4675
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2919 S ELLSWORTH RD, Mesa, AZ 85212

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Stan Lavell Covington Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 7, 2023 through February 7, 2027.

Opt-Out Effective DateFebruary 7, 2023
Opt-Out In Effect ThroughFebruary 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2919 S ELLSWORTH RD, SUITE # 124
MESA, AZ 85212
Psychiatry & Neurology (Neurology)
2919 S ELLSWORTH RD, SUITE 135
MESA, AZ 85212
Psychiatry & Neurology (Neurology)
2919 S ELLSWORTH RD, SUITE 135
MESA, AZ 85212
Internal Medicine
2919 S ELLSWORTH RD, SUITE 124
MESA, AZ 85212
Dentist (Orthodontics and Dentofacial Orthopedics)
2919 S ELLSWORTH RD, SUITE #106
MESA, AZ 85212
Clinic/Center (Urgent Care)
2919 S ELLSWORTH RD, SUITE 124
MESA, AZ 85212
Physical Therapist
2919 S ELLSWORTH RD, #115
MESA, AZ 85212
Occupational Therapist
2919 S ELLSWORTH RD, SUITE 111
MESA, AZ 85212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154478808, enumerated as an "individual" on January 04, 2007.

The provider is located at 2919 S ELLSWORTH RD SUITE 141 MESA, AZ 85212 and the phone number is (480) 307-8430.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Anthem Blue. Please consult your insurance carrier or call the provider to verify.