Michael Eric Bingham, D.D.S.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DEN.00204287 Issued in CO

Practice address

4609 S Timberline Rd Ste 104B
Fort Collins, CO 80528-3171

Phone

(970) 498-0196

Fax

(970) 498-0327

NPI assigned

Sep 5, 2008

Last updated

Oct 30, 2020By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 13, 2020 through Oct 13, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spring Creek Oral & Maxillofacial Surgery P.C.

  dba Blue Sky Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Collins, CO
  • NPI 1730701426
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1790933414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 S TIMBERLINE RD STE 104B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283171",
            "telephone_number": "970-498-0196",
            "fax_number": "970-498-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 S TIMBERLINE RD STE 104B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283171",
            "telephone_number": "970-498-0196",
            "fax_number": "970-498-0327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 61st Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806347997",
            "country_code": "US",
            "telephone_number": "970-506-0350",
            "fax_number": "970-506-0352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MICHAEL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "73742909922",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS100908",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00204287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Billiot, RBT
• Cali Jae Bills, DO
• Richard F Bindseil, D.O.
• Nancy Biner, L.AC.
• Kathleen D. Bingaman, M.S., OTR
• Biome Gastroenterology and Digestive Health LLC
• Nicholas Birk
• Taralee Wright Birkenstock, LCSW
• Bernard J Birnbaum, M.D.
• Adrienne Jane Birt, LSW

• Oral & Maxillofacial Surgery (D.M.D.) in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.