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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199388138 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dentistry of the Finger Lakes, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.