Gerald A. Bloom

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11732 Issued in MA

Practice address

1660 Washington St
Holliston, MA 01746-2240

Phone

(508) 429-5300

Fax

(508) 429-1624

NPI assigned

Oct 28, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Holliston Complete Dentistry, PC

  • General Practice Dentistry
  • Holliston, MA
  • NPI 1366013690
  NPD (past)
• Holliston Dental Studio PLLC

  • General Practice Dentistry
  • Holliston, MA
  • NPI 1336070945
  NPD (past)

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1194904037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462240",
            "telephone_number": "508-429-5300",
            "fax_number": "508-429-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 WASHINGTON ST",
            "city": "HOLLISTON",
            "state": "MA",
            "postal_code": "017462240",
            "telephone_number": "508-429-5300",
            "fax_number": "508-429-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "GERALD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Bendixsen
• Adam A Bezza
• Bhavani D Sriramaneni DMD PC
• Steve W Bisson, M.A.
• Michelle M Bleck, CFNP
• Richard Blyn, MS, A.T.,C.
• Joseph Boffa, DDS, MPH
• Lauren Bowers
• Vasumathi Keith Brown, MD., LADC-1
• Connie J Callard, CCWFN, LMT, CPP

• General Practice Dentistry in Holliston, MA
• Providers in Holliston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.