Active NPI
Kory Bingham, DDS
- Pediatric Dentistry
- Rigby, ID
National Provider Identifier
1124183207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D-3493-PD
- Practice address
- 688 Rigby Lake Dr Ste 4
Rigby, ID 83442-1285 - Phone
- (208) 745-2010
- NPI assigned
- Dec 27, 2006
- Last updated
- Dec 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1361 | WY | |
| Pediatric Dentistry | 1223P0221X | DE00009846 | WA | |
| Pediatric Dentistry | 1223P0221X | D-3493-PD | ID | Primary |
Addresses
Primary practice location
688 Rigby Lake Dr Ste 4
Rigby, ID 83442-1285
Mailing address
688 Rigby Lake Dr Ste 4
Rigby, ID 83442-1285
Phone (208) 716-9724
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
| License | State | Type | Specialty |
|---|---|---|---|
| D-3493-PD | ID | MD | Pediatric Dentist |
| DE00009846 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Childs Smile | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatric Dentistry
- Ammon, ID
- NPI 1316192370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1124183207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 RIGBY LAKE DR STE 4",
"city": "RIGBY",
"state": "ID",
"postal_code": "834421285",
"telephone_number": "208-716-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 RIGBY LAKE DR STE 4",
"city": "RIGBY",
"state": "ID",
"postal_code": "834421285",
"telephone_number": "208-745-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "KORY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WY",
"license": "1361",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00009846",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "ID",
"license": "D-3493-PD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.