Organization Active NPI

James Bloom DDS PLLC

Doing business as Bloom Orthodontics

  • Dental Clinic/Center
  • Parker, CO
National Provider Identifier
1548935463
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMES BLOOM DDS PLLC
Doing business as
Bloom Orthodontics
Practice address
11949 Lioness Way Ste 100
Parker, CO 80134-6083
Phone
(443) 804-1967
NPI assigned
Aug 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Dr. James Matthew Bloom, DDSNPI 1184910994
Title
Owner/Orthodontist
Phone
(443) 804-1967

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11949 Lioness Way Ste 100
Parker, CO 80134-6083

Mailing address

5208 Fox Meadow Dr
Highlands Ranch, CO 80130-8976
Phone (443) 804-1967

Other names 1

  • Bloom Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

11949 Lioness Way
Ste 100
Parker, CO 80134
Phone (443) 804-1967

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1548935463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 FOX MEADOW DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801308976",
            "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": [],
    "basic": {
        "organization_name": "JAMES BLOOM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "443-804-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.