Active NPI
Thomas J. Bloem DDS Ms PC
- Prosthodontics
- Ann Arbor, MI
National Provider Identifier
1992913784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2901011268
- Legal business name
- THOMAS J. BLOEM DDS MS PC
- Practice address
- 5340 Plymouth Rd
Suite 110
Ann Arbor, MI 48105-9341 - Phone
- (734) 995-4699
- Fax
- (734) 995-9685
- NPI assigned
- May 18, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas J Bloem, DDS, MS
- Title
- President
- Phone
- (734) 995-4699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2901011268 | MI | Primary |
Addresses
Primary practice location
5340 Plymouth Rd
Suite 110
Ann Arbor, MI 48105-9341
Mailing address
5340 Plymouth Rd
Suite 110
Ann Arbor, MI 48105-9341
Phone (734) 995-4699
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Prosthodontics
- Ann Arbor, MI
- NPI 1679628960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992913784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5340 PLYMOUTH RD",
"address_2": "SUITE 110",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059341",
"telephone_number": "734-995-4699",
"fax_number": "734-995-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 PLYMOUTH RD",
"address_2": "SUITE 110",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059341",
"telephone_number": "734-995-4699",
"fax_number": "734-995-9685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS J. BLOEM DDS MS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLOEM",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-995-4699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "MI",
"license": "2901011268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.