Steven Bloom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 10858 Issued in FL

Practice address

5762 1St Ave N
St Petersburg, FL 33710-7914

Phone

(727) 384-4151

Fax

(727) 381-2240

NPI assigned

Jul 21, 2006

Sex

Male

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

Practice roles

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.

• Bloom & Wygodski Family Dentistry

  • General Practice Dentistry
  • St Petersburg, FL
  • NPI 1588871156
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891716361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5762 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107914",
            "telephone_number": "727-384-4151",
            "fax_number": "727-381-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5762 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107914",
            "telephone_number": "727-384-4151",
            "fax_number": "727-381-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom & Wygodski Family Dentistry
• Bloom at St. Petersburg, LLC
• Bloom Into Balance Psychiatry & Wellness, PLLC
• Bloom Therapy Center of St. Pete, LLC
• Bernard Bloom
• Trevor Blose
• Nancy Beth Bloss Tumarkin, M.D.
• Sonja Katherine Blosser, PTA
• Blossom Family Chiropractic
• Blossom Medical Center Corp

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.