Active NPI
Eva J Bloda, DDS
- General Practice Dentistry
- Bloomington, IL
National Provider Identifier
1831437797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.007255-C
- Practice address
- 2103 E Washington St Ste 1C
Bloomington, IL 61701-4365 - Phone
- (847) 707-7210
- NPI assigned
- Jan 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.022086 | IL | |
| General Practice Dentistry | 1223G0001X | D.007255-C | AL | Primary |
Addresses
Primary practice location
2103 E Washington St Ste 1C
Bloomington, IL 61701-4365
Mailing address
6418 W Belmont Ave
Chicago, IL 60634-4099
Phone (773) 622-7773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007255-C | AL | MD | General Practice Dentistry |
| 019.022086 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teeth Matter Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1154802130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1831437797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344099",
"telephone_number": "773-622-7773",
"fax_number": "773-286-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 E WASHINGTON ST STE 1C",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617014365",
"telephone_number": "847-707-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLODA",
"first_name": "EVA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-27",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.022086",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.007255-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.