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ASPEN BLOOM, PLLC
NPI 1578407607
Dentist - General Practice in Bloomington, MN

Active since April 17, 2026
7936 PORTLAND AVE S, BLOOMINGTON, MN 55420(952) 852-7776(952) 703-0458 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aspen Bloom, Pllc NPPES

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

ASPEN BLOOM, PLLC (NPI 1578407607) is a healthcare organization registered as a general practice in Bloomington, Minnesota and active in the NPI registry since April 2026. The organization lists Christine Barber, Provider Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1578407607
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameASPEN BLOOM, PLLC
Location Address7936 PORTLAND AVE SBloomington, MN 55420-1315
Mailing AddressPo Box 70887Cleveland, OH 44190-0887 · (315) 454-6000 · Fax (315) 410-5531
Phone(952) 852-7776
Fax(952) 703-0458
Organization SubpartNo
Authorized OfficialChristine BarberProvider Enrollment Manager · (315) 454-6000
Enumeration DateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1578407607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
7936 PORTLAND AVE S, Bloomington, MN 55420
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JUSTIN NWOSU
Dentist
7936 PORTLAND AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 852-7776
POURNAWATTIE ANDREA CHANDRADATT DDS
Dentist (General Practice)
7936 PORTLAND AVE S
BLOOMINGTON, MN 55420
Hennepin County (763) 600-8613

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 Aspen Bloom, PLLC's NPI number?

The NPI number for Aspen Bloom, PLLC is 1578407607. It was assigned to this organization in the NPPES registry on April 17, 2026.

Where is Aspen Bloom, PLLC located?

Aspen Bloom, PLLC is located at 7936 Portland Ave S, Bloomington, MN 55420. The listed phone number is (952) 852-7776.

What is Aspen Bloom, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Aspen Bloom, PLLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.