Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417483876 Individual Practitioner Male Practitioner

Dr. Andrew Bloom , DDS

Dentist - General Practice • Carmel, IN

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Bloom, DDS is a registered healthcare professional specializing in Dentist - General Practice in Carmel, IN. Practice services are available at 200 MEDICAL DR STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Medical Dr Ste A

Carmel, IN 460322985

Telephone 3175751995
Associated Practice Facility / Clinic
🏢 Alex Balaban Dds Pc Facility NPI 1245322783

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Carmel, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
53 Specialists

Practicing in Carmel, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12012763A

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

12026 Woods Bay Ct

Carmel, IN 460339524

Phone: 3176969011

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Alex Balaban , DDS

Dentist - General Practice

NPI 1134358674

Doctor of Dental Surgery

Dr. Eric Wiedemann , DMD

Dentist - General Practice

NPI 1639747843

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2017

Registered at 200 MEDICAL DR STE A, CARMEL, IN 460322985 (Tel: 3175751995)

📍
Updated Business Mailing Address July 13, 2017

Registered at 12026 WOODS BAY CT, CARMEL, IN 460339524

👤
Provider Name / Credentials Updated July 13, 2017

Recorded as ANDREW BLOOM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Dentist (License #12012763A in IN)

NPI Profile Active May 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2017

Registered at 12026 WOODS BAY CT, CARMEL, IN 460339524 (Tel: 3176969011)

📍
Updated Business Mailing Address May 04, 2017

Registered at 12026 WOODS BAY CT, CARMEL, IN 460339524

👤
Provider Name / Credentials Updated May 04, 2017

Recorded as ANDREW BLOOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 04, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417483876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2017
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

12026 Woods Bay Ct

Carmel, IN 460339524

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.