NPIMap

Organization Active NPI

Bloomfield Dental Care, PLLC

  • General Practice Dentistry
  • Bloomfield, KY
National Provider Identifier
1437297348
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6805 Issued in KY
Legal business name
BLOOMFIELD DENTAL CARE, PLLC
Practice address
112 Fairfield HL
Bloomfield, KY 40008-6127
Phone
(502) 252-0056
Fax
(502) 252-0058
NPI assigned
Feb 2, 2007
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Dr. Joshua Dolphus Blackmon, DMDNPI 1245340298
Title
Member / Partner
Phone
(502) 348-6404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6805 KY Primary

Addresses

Primary practice location

112 Fairfield HL
Bloomfield, KY 40008-6127

Mailing address

208 E Flaget Ave
Bardstown, KY 40004-1520
Phone (502) 252-0056

Other identifiers 3

IdentifierTypeStateIssuer
267366OtherKYUNITED CONCORDIA PROVIDER
61943601MedicaidKY
6238OtherKYPASSPORT

Other names 1

  • Bloomfield Dental Care Former legal business name

National Provider Directory

National Provider Directory

Locations

919 Chambers Blvd
Bardstown, KY 40004
Phone (502) 348-6404

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1437297348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E FLAGET AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041520",
            "telephone_number": "502-252-0056",
            "fax_number": "502-252-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FAIRFIELD HL",
            "city": "BLOOMFIELD",
            "state": "KY",
            "postal_code": "400086127",
            "telephone_number": "502-252-0056",
            "fax_number": "502-252-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DOLPHUS",
        "authorized_official_title_or_position": "MEMBER / PARTNER",
        "authorized_official_telephone_number": "502-348-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "267366",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61943601",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "6238",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.