DR. JEFFREY T BLOOM DDS
NPI 1144392440
Dentist in Rapid City, SD

Q: What is Jeffrey Bloom's NPI number?

The NPI number for Jeffrey Bloom is 1144392440. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Jeffrey Bloom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Bloom was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2006PECOS Enrolled

631 ST ANNE ST, SUITE 105, RAPID CITY, SD 57701(605) 343-6003(605) 342-0998 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeffrey T Bloom Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY T BLOOM DDS (NPI 1144392440) is an individual dentist in Rapid City, South Dakota, licensed in South Dakota (M660) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144392440

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JEFFREY T BLOOMCredential: DDS

Location Address631 ST ANNE ST, SUITE 105Rapid City, SD 57701

Mailing Address631 St Anne St, Suite 105Rapid City, SD 57701 · (605) 343-6003 · Fax (605) 342-0998

Phone(605) 343-6003

Fax(605) 342-0998

Sole ProprietorYes

Enumeration DateNovember 14, 2006

Last NPPES UpdateMarch 31, 2015

✔ NPI 1144392440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SD · M660

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

631 ST ANNE ST, Rapid City, SD 57701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey T Bloom Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Bloom's NPI number?

The NPI number for Jeffrey Bloom is 1144392440. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Jeffrey Bloom located?

Jeffrey Bloom practices at 631 St Anne St Suite 105, Rapid City, SD 57701. The listed phone number is (605) 343-6003.

What is Jeffrey Bloom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jeffrey Bloom enrolled in Medicare?

Yes. Jeffrey Bloom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Bloom was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.