Bloom Dental-Fletcher Place, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLOOM DENTAL-FLETCHER PLACE, LLC

Practice address

435 Virginia Ave Unit 1800
Indianapolis, IN 46203-0016

Phone

(317) 672-7522

Fax

(317) 672-7524

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Brandt Finney

Title

Owner

Phone

(317) 672-7522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1982427472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 VIRGINIA AVE UNIT 1800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462030016",
            "telephone_number": "317-672-7522",
            "fax_number": "317-672-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 VIRGINIA AVE UNIT 1800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462030016",
            "telephone_number": "317-672-7522",
            "fax_number": "317-672-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM DENTAL-FLETCHER PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "BRANDT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-672-7522"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jo Bloemker
• Jisette Blondet
• Bloom at Kessler, LLC
• Bloom at Willow, LLC
• Bloom Dental - Geist, LLC
• Edward J Bloom, DPT
• Lisa F Bloom, NNP
• Ronald Bloom, MD
• Bloomed
• Ainsley Katherine Bloomer, MD

• Dental Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, 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 Nov 4, 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.