P Praxis·MD
● Active Type 1 · Individual

DR. Kory Bingham, DDS

Dentist·Rigby, ID· NPI 1124183207 · Enumerated 2006 · 19 years on NPI
Bingham is 1 of 2 dentist providers in Rigby and 1 of 114 in Idaho.
NPI age
19 years
Enumerated 2006-12-27
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
ID, WY, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 114 active dentist providers in Idaho.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
3 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
688 Rigby Lake Dr Ste 4
Rigby, ID 834421285
📞 2087452010
Mailing address
688 Rigby Lake Dr Ste 4
Rigby, ID 834421285
📞 2087169724

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    ID license #D-3493-PDWY license #1361WA license #DE00009846 taxonomy 1223P0221X

Identifiers

TypeValueNotes
05 (WA) 1090892
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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