Katlin Allen Bloomer DMD Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KATLIN ALLEN BLOOMER DMD INC

Doing business as

Hyde Park Pediatric Dentistry

Practice address

3136 Madison Rd
Cincinnati, OH 45209

Phone

(513) 979-6998

Fax

(513) 979-6990

NPI assigned

Aug 15, 2023

Last updated

Aug 15, 2023By 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

Katlin A Blomer, DMDNPI 1114153343

Title

Owner/Dentist

Phone

(513) 979-6998

Specialties & licenses 1

Addresses

Other names 1

• Hyde Park Pediatric Dentistry Doing business as

Tax ID family

Hyde Park Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hyde Park Pediatric Dentistry

  • Pediatric Dentistry
  • Cincinnati, OH
  • NPI 1659643922
  NPD tax ID

Locations

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.

• Katlin Blomer, D.M.D.

  • Pediatric Dentistry
  • Cincinnati, OH
  • NPI 1114153343
  Authorized official Same address or phone

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1730962770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-979-6998",
            "fax_number": "513-979-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 MADISON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-979-6998",
            "fax_number": "513-979-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATLIN ALLEN BLOOMER DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "BLOMER",
        "authorized_official_first_name": "KATLIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "513-979-6998",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyde Park Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen M Bennett DDS LLC
• Kathleen S. Shepard, D.D.S., Inc.
• Kathryn a Weichert MD, Inc
• Kathryn a Weichert MD, Inc.
• Akshar Kathula
• Kaoruko Kato
• Sidney Katona
• Terrence Matthias Katona, D.O.
• Megan Elizabeth Katt, MA, CCC-SLP
• Taylor Alan Katt, MSW, LSW

• Pediatric Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.