Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLOOM PEDIATRIC DENTISTRY
NPI 1841805991
Dentist - Pediatric Dentistry in Dallas, OR

Q: What is Bloom Pediatric Dentistry's NPI number?

The NPI number for Bloom Pediatric Dentistry is 1841805991. It was assigned to this organization in the NPPES registry on September 14, 2020.

Q: What is Bloom Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since September 14, 2020

410 E ELLENDALE AVE STE 1, DALLAS, OR 97338(503) 507-0996 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 17, 2026, Apr 17, 2026, Nov 9, 2023 and 1 more (4 updates tracked since 2020).

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About Bloom Pediatric Dentistry NPPES

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

BLOOM PEDIATRIC DENTISTRY (NPI 1841805991) is a healthcare organization registered as a pediatric dentistry in Dallas, Oregon and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Dallas and lists Benjamin James, Owner / Dentist, as its authorized official.

NPPES Registry Identity

NPI1841805991

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameBLOOM PEDIATRIC DENTISTRY

Location Address410 E ELLENDALE AVE STE 1Dallas, OR 97338-3052

Mailing Address410 E Ellendale Ave Ste 1Dallas, OR 97338-3052 · (503) 507-0996

Phone(503) 507-0996

Organization SubpartNo

Authorized OfficialBenjamin JamesOwner / Dentist · (541) 666-6091

Enumeration DateSeptember 14, 2020

Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1841805991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

410 E ELLENDALE AVE STE 1, Dallas, OR 97338

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Secondary Practice Location 1

Location 1201 SE Washington St Ste ADallas, OR 97338-2860 · Phone (503) 507-0996

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bloom Pediatric Dentistry's NPI number?

The NPI number for Bloom Pediatric Dentistry is 1841805991. It was assigned to this organization in the NPPES registry on September 14, 2020.

Where is Bloom Pediatric Dentistry located?

Bloom Pediatric Dentistry is located at 410 E Ellendale Ave Ste 1, Dallas, OR 97338. The listed phone number is (503) 507-0996.

What is Bloom Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Bloom Pediatric Dentistry was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.