Individual provider Active NPI

Thomas Gilbert Bingham, D.D.S.

  • Dentist
  • Longview, WA
National Provider Identifier
1053574319
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60932717 Issued in WA
Practice address
900 Ocean Beach Hwy Ste 100
Longview, WA 98632-4171
Phone
(360) 501-5437
Fax
(360) 208-8505
NPI assigned
Jul 8, 2008
Last updated
Dec 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23529 TX
Dentist 122300000X DE60932717 WA Primary

Addresses

Primary practice location

900 Ocean Beach Hwy Ste 100
Longview, WA 98632-4171

Mailing address

900 Ocean Beach Hwy Ste a
Longview, WA 98632-4171
Phone (603) 501-5437

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

LicenseStateTypeSpecialty
DE60932717WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G. Bingham DDS PC Dentist Past Accepting new patients

Networks

  • WA PPO C-SNP

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1053574319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OCEAN BEACH HWY STE A",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324171",
            "telephone_number": "603-501-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OCEAN BEACH HWY STE 100",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324171",
            "telephone_number": "360-501-5437",
            "fax_number": "360-208-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "THOMAS",
        "middle_name": "GILBERT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23529",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60932717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.