Cherilee C Bloom DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

3510 Issued in ID

Legal business name

CHERILEE C BLOOM DDS PLLC

Practice address

815 W Canfield Ave
Coeur D Alene, ID 83815-9765

Phone

(108) 762-2544

Fax

(208) 762-9563

NPI assigned

Jun 5, 2008

Last updated

Apr 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheri C Bloom, DDS

Title

Owner/Member

Phone

(208) 762-2544

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cherilee C Bloom, DDS

  • General Practice Dentistry
  • Coeur d'Alene, ID
  • NPI 1043320179
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1083873939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159765",
            "telephone_number": "108-762-2544",
            "fax_number": "208-762-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159765",
            "telephone_number": "108-762-2544",
            "fax_number": "208-762-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERILEE C BLOOM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "208-762-2544",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "3510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Chase, DC
• Kelsey Leeann Chaumont, APRN
• Claudia Guadalupe Chavez, CREP, CCRP
• Luis Esteban Chavolla
• Cheri & Associates of North Idaho, Inc.
• Catherine Ann Chester, M.D.
• Chiropractic Health Strategies, PA
• Donald Robert Chisholm, MD
• Kimberly Christen
• Emily Ann Christensen-Neufeld

• Dentist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.