DR. MICHAEL ERIC BINGHAM D.D.S.
NPI 1790933414
Oral & Maxillofacial Surgery in Fort Collins, CO

Active since September 05, 2008Opted out of Medicare · through Oct 13, 2026
4609 S TIMBERLINE RD STE 104B, FORT COLLINS, CO 80528(970) 498-0196(970) 498-0327 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2020, Apr 22, 2019, Aug 10, 2016 (3 updates tracked since 2016).

About Dr. Michael Eric Bingham D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ERIC BINGHAM D.D.S. (NPI 1790933414) is an individual oral & maxillofacial surgery provider in Fort Collins, Colorado, licensed in Colorado (DEN.00204287) and active in the NPI registry since September 2008. He has opted out of Medicare through October 13, 2026 and maintains a secondary practice location in Greeley.

NPPES Registry Identity

NPI1790933414
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MICHAEL ERIC BINGHAMCredential: D.D.S.
Location Address4609 S TIMBERLINE RD STE 104BFort Collins, CO 80528-3171
Mailing Address4609 S Timberline Rd Ste 104bFort Collins, CO 80528-3171 · (970) 498-0196 · Fax (970) 498-0327
Fax(970) 498-0327
Sole ProprietorNo
Enumeration DateSeptember 5, 2008
Last NPPES UpdateOctober 30, 20203 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
NPI 1790933414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CO · DEN.00204287
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 73742909922 (UT)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DDS100908 (CA)
4609 S TIMBERLINE RD STE 104B, Fort Collins, CO 80528

Secondary Practice Location 1

Location 11707 61st Ave Ste 102Greeley, CO 80634-7997 · Phone (970) 506-0350 · Fax (970) 506-0352

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael Eric Bingham D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 13, 2020 through October 13, 2026.

Opt-Out Effective DateOctober 13, 2020
Opt-Out In Effect ThroughOctober 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
4609 S TIMBERLINE RD STE 104B
FORT COLLINS, CO 80528

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Bingham's NPI number?

The NPI number for Michael Bingham is 1790933414. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Michael Bingham located?

Michael Bingham practices at 4609 S Timberline Rd Ste 104B, Fort Collins, CO 80528. The listed phone number is (970) 498-0196.

What is Michael Bingham's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Michael Bingham enrolled in Medicare?

No. Michael Bingham has opted out of Medicare through October 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Bingham accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Michael Bingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Bingham was last updated on October 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.