Jonathan Bloom, D.D.S.
NPI 1093884462 · General Practice Dentistry · South Burlington, VT
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Bloom, D.D.S. is a General Practice Dentistry provider in South Burlington, VT (NPI 1093884462).
Provider details
- NPI number
- 1093884462
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2268 (VT)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2012-05-16
Frequently asked questions
- What is Jonathan Bloom's NPI number?
- Jonathan Bloom's National Provider Identifier (NPI) is 1093884462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Bloom's specialty?
- Jonathan Bloom is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jonathan Bloom located?
- Jonathan Bloom's practice location on file with NPPES is 118 Tilley Dr Ste 101, South Burlington, VT 05403-4450.
- What is Jonathan Bloom's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Bloom is (802) 863-3950.
- Does Jonathan Bloom accept Medicare?
- Jonathan Bloom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Bloom's NPI active?
- Yes — Jonathan Bloom's NPI (1093884462) is active in the NPPES registry as of the last update on 2012-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.