Individual provider Active NPI

Monica Echeverria Bingham, DMD, MS

  • Pediatric Dentistry
  • La Grange, KY
National Provider Identifier
1518258458
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8789 Issued in KY
Practice address
2005 S Highway 53
Suite D
La Grange, KY 40031-9109
Phone
(502) 225-6820
Fax
(502) 225-0882
NPI assigned
Apr 26, 2011
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 8789 KY Primary
Dentist 122300000X 8789 KY

Addresses

Primary practice location

2005 S Highway 53
Suite D
La Grange, KY 40031-9109

Mailing address

2005 S Highway 53
Suite D
La Grange, KY 40031-9109
Phone (502) 225-6820

Other identifiers 1

IdentifierTypeStateIssuer
7100189080MedicaidKY

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8789KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Dentistry-Lagrange, PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1518258458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S HIGHWAY 53",
            "address_2": "SUITE D",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319109",
            "telephone_number": "502-225-6820",
            "fax_number": "502-225-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 S HIGHWAY 53",
            "address_2": "SUITE D",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319109",
            "telephone_number": "502-225-6820",
            "fax_number": "502-225-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MONICA",
        "middle_name": "ECHEVERRIA",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "8789",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100189080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.