Vincent S Bingo, DDS

Individual provider Active NPI Dentist · Honeoye, NY

NPI 1215034293 · NPPES record last updated Mar 5, 2012

Key facts

NPI
1215034293
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
199388138 (NY)
Practice address
8623 Main St
Honeoye, NY 14471-9603
Phone
(585) 229-2588
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
199388138NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentistry of the Finger Lakes, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 199388138 NY Yes

Addresses

Primary practice location

8623 Main St
Honeoye, NY 14471-9603

Mailing address

8623 Main St
PO Box 559
Honeoye, NY 14471-9603
Phone (585) 229-2588

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2012.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1215034293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 MAIN ST",
            "address_2": "PO BOX 559",
            "city": "HONEOYE",
            "state": "NY",
            "postal_code": "144719603",
            "telephone_number": "585-229-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 MAIN ST",
            "city": "HONEOYE",
            "state": "NY",
            "postal_code": "144719603",
            "telephone_number": "585-229-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGO",
        "first_name": "VINCENT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "199388138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honeoye, NY

All providers in Honeoye, NY · Dentist in New York

Sources for this page

Verify at the official NPI Registry.