Bloom Dental-Greenwood, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLOOM DENTAL-GREENWOOD, LLC

Doing business as

Bloom Dental

Practice address

4800 W Smith Valley Rd Ste K
Greenwood, IN 46142-9195

Phone

(317) 882-7800

Fax

(317) 893-2986

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandt Finney, DDS

Title

Owner

Phone

(317) 882-7800

Specialties & licenses 1

Addresses

Other names 1

• Bloom Dental Doing business as

Locations

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1629803432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W SMITH VALLEY RD STE K",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429195",
            "telephone_number": "317-882-7800",
            "fax_number": "317-893-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W SMITH VALLEY RD STE K",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429195",
            "telephone_number": "317-882-7800",
            "fax_number": "317-893-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM DENTAL-GREENWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "BRANDT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-882-7800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip A. Blaney, M.D.
• Raime Capri Blattner, ACNP-BC
• Diana L Blazek, RPH
• Amber Blazer
• Nathan J Bleeke, DO
• Joanna E Bloss, LMHC, LCPC
• Blue Peak Medcare LLC
• Blueshield Medical LLC
• David Blunk, PHARMD
• Annmarie Bobbitt

• Dental Clinic/Center in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.