Active NPI
Christopher M Bingham, DDS
- Dentist
- Austin, TX
National Provider Identifier
1831352749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29498
- Practice address
- 711 W 38TH St
Ste G5
Austin, TX 78705-1121 - Phone
- (512) 453-1600
- Fax
- (512) 453-1503
- NPI assigned
- Jul 10, 2008
- Last updated
- Apr 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-026691 | IL | |
| Dentist | 122300000X | 29498 | TX | Primary |
Addresses
Primary practice location
711 W 38TH St
Ste G5
Austin, TX 78705-1121
Mailing address
711 W 38TH St
Suite G5
Austin, TX 78705-1121
Phone (512) 453-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160406000008 | TX | Order and Referring Only - Dentist | 9133427248 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-026691 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Periodontics | 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": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1831352749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 38TH ST",
"address_2": "SUITE G5",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051121",
"telephone_number": "512-453-1600",
"fax_number": "512-453-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 38TH ST",
"address_2": "STE G5",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051121",
"telephone_number": "512-453-1600",
"fax_number": "512-453-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-026691",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.