NPIMap

Organization Active NPI

Legrand Bingham, Inc.

  • General Practice Dentistry
  • Logan, UT
National Provider Identifier
1356449870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
141029 Issued in UT
Legal business name
LEGRAND BINGHAM, INC.
Practice address
120 W Cache Valley Blvd
Suite 200
Logan, UT 84341-2696
Phone
(435) 753-7563
Fax
(453) 753-0886
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Legrand Bingham, D.M.D.NPI 1558467803
Title
President
Phone
(435) 753-7563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 141029 UT Primary

Addresses

Primary practice location

120 W Cache Valley Blvd
Suite 200
Logan, UT 84341-2696

Mailing address

120 W Cache Valley Blvd
Suite 200
Logan, UT 84341-2696
Phone (435) 753-7563

National Provider Directory

National Provider Directory

Locations

120 W Cache Valley Blvd
Ste 200
Logan, UT 84341
Phone (435) 753-7563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356449870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CACHE VALLEY BLVD",
            "address_2": "SUITE 200",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412696",
            "telephone_number": "435-753-7563",
            "fax_number": "453-753-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CACHE VALLEY BLVD",
            "address_2": "SUITE 200",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412696",
            "telephone_number": "435-753-7563",
            "fax_number": "453-753-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGRAND BINGHAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "LEGRAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-753-7563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "141029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.