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DR. NATHAN LEE BLOOM D.D.S.
NPI 1215224829
Dentist - General Practice in Sheboygan, WI

Active since July 03, 2011PECOS Enrolled
3233 SUPERIOR AVE, SHEBOYGAN, WI 53081(920) 457-0888(920) 457-0896 Get Directions Write a Review

NPPES record last updated: May 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nathan Lee Bloom D.d.s. NPPES

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

DR. NATHAN LEE BLOOM D.D.S. (NPI 1215224829) is an individual general practice provider in Sheboygan, Wisconsin, licensed in Wisconsin (6711-015) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215224829
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NATHAN LEE BLOOMCredential: D.D.S.
Location Address3233 SUPERIOR AVESheboygan, WI 53081-1858
Mailing Address3233 Superior AveSheboygan, WI 53081-1858 · (920) 457-0888 · Fax (920) 457-0896
Phone(920) 457-0888
Fax(920) 457-0896
Sole ProprietorNo
Enumeration DateJuly 3, 2011
Last NPPES UpdateMay 11, 2015
✔ NPI 1215224829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 6711-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3233 SUPERIOR AVE, Sheboygan, WI 53081
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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. Nathan Lee Bloom D.d.s. 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 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RHONDA LOUISE SLEITER DDS
Dentist (General Practice)
3233 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-0888

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 Nathan Bloom's NPI number?

The NPI number for Nathan Bloom is 1215224829. It was assigned to this individual provider in the NPPES registry on July 3, 2011.

Where is Nathan Bloom located?

Nathan Bloom practices at 3233 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 457-0888.

What is Nathan Bloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nathan Bloom enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nathan Bloom was last updated on May 11, 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.