OrganizationActive
Michael A. Bloom D.M.D. PLLC
NPI 1033554845 · Health Maintenance Organization · Hayden Lake, ID
Provider details
- NPI number
- 1033554845
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kathy Marks, Office Manager(208) 772-3583
- License
- D3555 (ID)
Specialties & taxonomies
Managed Care Organizations
Managed Care Organizations
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9928 N Government Way
Hayden Lake, ID 83835-9604
Phone: (208) 772-3583
Fax: (208) 772-3224
Street-level locationGet directions
Mailing address
Po Box 425
Hayden Lake, ID 83835-0425
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2013-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.