DR. MICHAEL ERIC BINGHAM (NPI# 1790933414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790933414 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ERIC BINGHAM |
| Credential | D.D.S. |
| Practice Address |
4609 S Timberline Rd Ste 104b Fort Collins CO 80528-3171 |
| Practice Telephone | 9704980196 |
| Practice Fax Number | 9704980327 |
| Mailing Telephone | 9704980196 |
| Mailing Fax Number | 9704980327 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 73742909922 | UT | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DDS100908 | CA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | DEN.00204287 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1707 61st Ave Ste 102, Greeley, CO 806347997 | 9705060350 | 9705060352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156018 | Michael Bingham | Optometrist | 3252 Aspen Grove Dr Ste 1, Franklin, TN 37067-4894 | 2015-06-11 |
| 1124139134 | Michael John Bingham | Dentist | 3308 N Milwaukee St, Boise, ID 83704-4447 | 2006-08-31 |
| 1609896851 | Michael Glenn Bingham | Dentist | 4538 Swan Ln, Billings, MT 59106-4707 | 2006-07-20 |
| 1841726643 | Michael Bingham | Anesthesiology | 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 2017-05-11 |
| 1962625830 | Michael Ronald Bingham | Dentist | 77 S 700 E, Suite 260, Salt Lake City, UT 84102-1138 | 2007-04-10 |
| Street Address |
4609 S TIMBERLINE RD STE 104B |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701426 | Spring Creek Oral & Maxillofacial Surgery P.C. | Dentist | 4609 S Timberline Rd Ste 104b, Fort Collins, CO 80528-3171 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972865269 | Murphy Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 1136 E Stuart St, Suite 3-240, Fort Collins, CO 80525-1195 | 2012-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1689916611 | Ben Adam Charles Bailey | Oral & Maxillofacial Surgery | 3691 Parker Blvd Ste 200, Pueblo, CO 81008-2278 | 2013-03-16 |
| 1952677973 | Colorado Surgical Arts | Oral & Maxillofacial Surgery | 2900 S. Peoria Street, Unit D, Aurora, CO 80014 | 2012-03-23 |
| 1275831208 | Kamran Dastoury | Oral & Maxillofacial Surgery | 2290 Kipling St Unit 2, Lakewood, CO 80215-1546 | 2011-02-28 |
| 1215190145 | Michael S Kunkel | Oral & Maxillofacial Surgery | 3475 Briargate Blvd, Suite 102, Colorado Springs, CO 80920 | 2008-07-10 |
| 1740494467 | Norman Philip Payea II | Oral & Maxillofacial Surgery | 8805 West Fourteenth Avenue, Suite 316 Lakewood Medical Center, Lakewood, CO 80215-4848 | 2007-05-10 |
| 1902931835 | Steven F. Reck, Dds, PC | Oral & Maxillofacial Surgery | 1201 Paseo Del Norte, Pueblo, CO 81008-2611 | 2007-02-22 |
| 1548342629 | Barry S Keogh | Oral & Maxillofacial Surgery | 14991 E Hampden Ave #260, Aurora, CO 80014 | 2006-10-19 |
| 1033204094 | Michael Derrick Moody | Oral & Maxillofacial Surgery | 9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581 | 2006-10-04 |
| 1629085196 | Glenn Eric Herrmann | Oral & Maxillofacial Surgery | 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.