Kendra Rae Bloom, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17542 Issued in MD

Practice address

Comnavsurfpac Lha 6 Uss America
San Diego, CA 92155-5611

Phone

(301) 295-0064

NPI assigned

Jul 25, 2022

Sex

Female

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

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1538895396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CRAVEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365599",
            "telephone_number": "619-556-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMNAVSURFPAC LHA 6 USS AMERICA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555611",
            "telephone_number": "301-295-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Craven St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921365599",
            "country_code": "US",
            "telephone_number": "619-556-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KENDRA",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Blood
• Bloom Acupuncture & Fertility
• Bloom Family Therapist Group, Inc.
• Emily Bloom, MPH
• Jessica Bloom, MD
• Rachel Bloom
• Rosalie Anne Bloomberg-Rissman, L.C.S.W.
• Victor Bloomberg, LCSW
• Curtis Howard Bloomer, MD
• Blooming Behavior Services

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

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