BLOOMING FAMILY DENTAL LLC
NPI 1699261347
Dentist - General Practice in West Caldwell, NJ

Q: What is Blooming Family Dental LLC's NPI number?

The NPI number for Blooming Family Dental LLC is 1699261347. It was assigned to this organization in the NPPES registry on July 5, 2018.

Q: What is Blooming Family Dental LLC's specialty?

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

Active since July 05, 2018

749 BLOOMFIELD AVE STE D, WEST CALDWELL, NJ 07006(646) 673-4496 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2025, Mar 30, 2021, Mar 18, 2021 and 2 more (5 updates tracked since 2018).

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About Blooming Family Dental Llc NPPES

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

BLOOMING FAMILY DENTAL LLC (NPI 1699261347) is a healthcare organization registered as a general practice in West Caldwell, New Jersey and active in the NPI registry since July 2018. The organization lists Theodore K Chang, Owner, as its authorized official.

NPPES Registry Identity

NPI1699261347

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBLOOMING FAMILY DENTAL LLC

Location Address749 BLOOMFIELD AVE STE DWest Caldwell, NJ 07006-6717

Mailing Address749 Bloomfield Ave Ste DWest Caldwell, NJ 07006-6717 · (973) 787-8437

Phone(646) 673-4496

Organization SubpartNo

Authorized OfficialTheodore K ChangOwner · (646) 673-4496

Enumeration DateJuly 5, 2018

Last NPPES UpdateSeptember 5, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1699261347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · 22DI02565000

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.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

749 BLOOMFIELD AVE STE D, West Caldwell, NJ 07006

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blooming Family Dental Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateNew JerseyEnrollment IDO20210420002259DME · Oral Surgery - DentistDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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. THEODORE K CHANG D.D.S.

Dentist (General Practice)

749 BLOOMFIELD AVE STE D
WEST CALDWELL, NJ 07006

Essex County (646) 673-4496

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 Blooming Family Dental LLC's NPI number?

The NPI number for Blooming Family Dental LLC is 1699261347. It was assigned to this organization in the NPPES registry on July 5, 2018.

Where is Blooming Family Dental LLC located?

Blooming Family Dental LLC is located at 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006. The listed phone number is (646) 673-4496.

What is Blooming Family Dental LLC's specialty?

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

Is Blooming Family Dental LLC enrolled in Medicare?

Yes. Blooming Family Dental LLC is registered in the Medicare PECOS enrollment system.

When is Blooming Family Dental LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Oral Surgery - Dentist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Blooming Family Dental LLC accept?

Health plans from UnitedHealthcare list Blooming Family Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blooming Family Dental LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.