Justin S Bingham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D-9021 Issued in OR

Practice address

2800 Main St
Baker City, OR 97814-1800

Phone

(541) 523-6012

Fax

(541) 524-9543

NPI assigned

Sep 26, 2007

Last updated

Aug 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baker Dental Group

  • Dentist
  • Baker City, OR
  • NPI 1568681245
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1356538128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141800",
            "telephone_number": "541-523-6012",
            "fax_number": "541-524-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141800",
            "telephone_number": "541-523-6012",
            "fax_number": "541-524-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "JUSTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D-9021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie M Bennett, BS
• June Marie Bennett
• Sarrah Delores Berg
• Jay D Berryman
• Nicole Ray Billman, PMHNP
• Jennifer L Blair
• Sheryl L Blankenship, OD
• Skylar Jade Blankenship
• Tammie R. Blessing, LCSW
• Blue Libelula Inc (Blue Libelula Psychology)

• Dentist in Baker City, OR
• Providers in Baker City, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.