James Matthew Bloom, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN.00203556 Issued in CO

Practice address

11949 Lioness Way Ste 100
Parker, CO 80134-6083

Phone

(443) 804-1967

NPI assigned

Jun 21, 2011

Last updated

Aug 16, 2021By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• James Bloom DDS PLLC

  dba Bloom Orthodontics

  • Dental Clinic/Center
  • Parker, CO
  • NPI 1548935463
  NPD Authorized official
• Family Health Centers of Southwest Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
  • NPI 1366748402
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1184910994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 LIONESS WAY STE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346083",
            "telephone_number": "443-804-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 LIONESS WAY STE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346083",
            "telephone_number": "443-804-1967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Broadway Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339018002",
            "country_code": "US",
            "telephone_number": "239-344-2335",
            "fax_number": "239-936-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 S Monaco Pkwy",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225814",
            "country_code": "US",
            "telephone_number": "303-476-6233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "HAD34",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "80136689921",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00203556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004058400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Evangeline Blaske
• Joseph Paul Blatchford, CRT
• Angela Michelle Blevins, PA-C
• Bliss Behavioral Health PLLC
• Bloom Child Therapists PLLC (Bloom Child Therapists)
• Blue Feather Counseling, PLLC
• Kevin Johnston Blue
• Andrea Blum, M.S., CCC-SLP
• Kristin Nicole Blum, M.A., CCC-SLP
• Brittany Boehnke, PT, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Parker, CO
• Providers in Parker, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.