Rigby Pediatric Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

RIGBY PEDIATRIC DENTAL PLLC

Practice address

688 Rigby Lake Circle, Suite 4
Rigby, ID 83442

Phone

(208) 600-0330

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kory Bingham, DDS

Title

Managing Member

Phone

(208) 716-9724

Specialties & licenses 1

Addresses

Other names 1

• Rigby Pediatric Dental Doing business as

Locations

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1124657010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "city": "IONA",
            "state": "ID",
            "postal_code": "834270191",
            "telephone_number": "208-716-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 RIGBY LAKE CIRCLE, SUITE 4",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "83442",
            "telephone_number": "208-600-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGBY PEDIATRIC DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "KORY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "208-716-9724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rigby Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kody Ricks, COTA/L
• Rigby Community Care
• Rigby Dental, Inc.
• Rigby Family Medicine LLC
• Rigby Lake Chiropractic P.C.
• Rigby Physical Therapy, PLLC
• Rigby PT, PLLC
• Jennifer Ann Robey-Williams
• Andrea Russell
• Toni J Russell

• All providers in Rigby, ID
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.