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Michael A. Bloom D.M.D. Pllc

Health Maintenance Organization in Hayden Lake, ID · enumerated 2013 · authorized official Kathy Marks, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033554845

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Registry record

Entity type Organization (Type 2)
Legal business name Michael A. Bloom D.M.D. Pllc
Practice address 9928 N Government Way, Hayden Lake, ID, 83835
Fax (208) 772-3224
Enumeration date May 7, 2013
Last updated in NPPES May 7, 2013

Taxonomy & classification

302R00000X Health Maintenance Organization Managed Care Organizations · License D3555 (ID) Secondary
302R00000X Health Maintenance Organization Managed Care Organizations · License D3394 (ID) Primary

Authorized official

Name Kathy Marks
Title Office Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-05-07. Verify at npiregistry.cms.hhs.gov.
Where is Michael A. Bloom D.M.D. Pllc located?
The practice location on file with NPPES is in Hayden Lake, ID.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-07.