Individual provider Active NPI

Ryan Sean Bingham, DDS

  • Dentist
  • Greeley, CO
National Provider Identifier
1891958666
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9702 Issued in CO
Practice address
1122 9TH St Ste 103
Greeley, CO 80631-6412
Phone
(970) 353-2340
Fax
(970) 353-2344
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9702 CO Primary

Addresses

Primary practice location

1122 9TH St Ste 103
Greeley, CO 80631-6412

Mailing address

1122 9TH St Ste 103
Greeley, CO 80631-6412
Phone (970) 353-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317001174 CO Order and Referring Only - DentistPractitioner - Dentist 0749586725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9702COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan S. Bingham DDS, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1891958666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 9TH ST STE 103",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316412",
            "telephone_number": "970-353-2340",
            "fax_number": "970-353-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 9TH ST STE 103",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316412",
            "telephone_number": "970-353-2340",
            "fax_number": "970-353-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "RYAN",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.