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KENDRA RAE BLOOM DDS
NPI 1538895396
Dentist in San Diego, CA

Active since July 25, 2022
COMNAVSURFPAC LHA 6 USS AMERICA, SAN DIEGO, CA 92155(301) 295-0064 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2025, Jul 2, 2025, Jul 25, 2022 (3 updates tracked since 2022).

About Kendra Rae Bloom Dds NPPES

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

KENDRA RAE BLOOM DDS (NPI 1538895396) is an individual dentist in San Diego, California, licensed in Maryland (17542) and active in the NPI registry since July 2022. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1538895396
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKENDRA RAE BLOOMCredential: DDS
Location AddressCOMNAVSURFPAC LHA 6 USS AMERICASan Diego, CA 92155-5611
Mailing Address2450 Craven StSan Diego, CA 92136-5599 · (619) 556-8240
Phone(301) 295-0064
Sole ProprietorNo
Enumeration DateJuly 25, 2022
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1538895396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 17542
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.

COMNAVSURFPAC LHA 6 USS AMERICA, San Diego, CA 92155
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Secondary Practice Location 1

Location 12450 Craven StSan Diego, CA 92136-5599 · Phone (619) 556-8240

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 Kendra Bloom's NPI number?

The NPI number for Kendra Bloom is 1538895396. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Kendra Bloom located?

Kendra Bloom practices at Comnavsurfpac Lha 6 Uss America, San Diego, CA 92155. The listed phone number is (301) 295-0064.

What is Kendra Bloom's specialty?

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

When was this NPI record last updated?

The NPPES record for Kendra Bloom was last updated on October 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.