Jesse K Bloomfield, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00202874 Issued in CO

Practice address

60 S 300 E
Delta, UT 84624-5551

Phone

(435) 864-5195

Fax

(435) 864-5199

NPI assigned

Jun 22, 2016

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Mountain Dental LLC

  • Dental Clinic/Center
  • Delta, UT
  • NPI 1023882271
  NPD Authorized official
• Merit Dental Group

  • Dental Clinic/Center
  • Delta, UT
  • NPI 1508356916
  NPD (past)
• Lafayette Dental Partners, Prof. LLP

  dba Comfort Dental Lafyette

  • General Practice Dentistry
  • Lafayette, CO
  • NPI 1417973025
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1043661945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846240310",
            "telephone_number": "435-864-5195",
            "fax_number": "435-864-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 300 E",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846245551",
            "telephone_number": "435-864-5195",
            "fax_number": "435-864-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "JESSE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Jamie Mae Backer
• Jacob Donald Bailey, MD
• Jared Bailey, OT
• Darin Wesley Bloomfield, CRNA, MHS
• Blue Mountain Dental LLC
• Canyon View Medical Group LLC (Canyon View Orthopedics Delta)
• Shaylee Claire Carcamo, PTA
• Sonja L. Cazier, APRN
• Thomas Earl Chandler, DMD

• General Practice Dentistry in Delta, UT
• Providers in Delta, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.