Individual provider Active NPI

Paul P. Binon, D.D.S., M.S.D.

  • Prosthodontics
  • Roseville, CA
National Provider Identifier
1194870162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
20817 Issued in CA
Practice address
1158 Cirby Way
Suite a
Roseville, CA 95661-4422
Phone
(916) 786-6676
Fax
(916) 786-6820
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Prosthodontics 1223P0700X 20817 CA Primary

Addresses

Primary practice location

1158 Cirby Way
Suite a
Roseville, CA 95661-4422

Mailing address

1158 Cirby Way
Suite a
Roseville, CA 95661-4422
Phone (916) 786-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150717000542 CA Order and Referring Only - DentistPractitioner - Dentist 0143533380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20817CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194870162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 CIRBY WAY",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614422",
            "telephone_number": "916-786-6676",
            "fax_number": "916-786-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 CIRBY WAY",
            "address_2": "SUITE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614422",
            "telephone_number": "916-786-6676",
            "fax_number": "916-786-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINON",
        "first_name": "PAUL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "20817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.