Timothy Theobald DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIMOTHY THEOBALD DDS PLLC

Practice address

2127 Green Bay Rd
North Chicago, IL 60064-2801

Phone

(847) 336-8478

NPI assigned

Apr 20, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy David Theobald, DMDNPI 1497156731

Title

Lead Dentist

Phone

(847) 336-8478

Specialties & licenses 1

Addresses

Tax ID family

Timothy Theobald DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timothy Theobald DDS PLLC

  • Dental Clinic/Center
  • North Chicago, IL
  • NPI 1508701962
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Theobald, D.M.D

  • General Practice Dentistry
  • North Chicago, IL
  • NPI 1497156731
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1053255901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642801",
            "telephone_number": "847-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY THEOBALD DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "THEOBALD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "LEAD DENTIST",
        "authorized_official_telephone_number": "847-336-8478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aji Jacob Thomas, LPN
• Maria C Thomas, RPH
• Rosanne M Thomas, PT
• Yvette Thomas, REGISTERED NURSE
• Yun Thorson, RN
• Timothy Theobald DDS PLLC
• Owen Francis Timrick, PA-C
• Aamirhusen Nasirhusen Tirmijisaiyed, MD
• Mariam Tobia
• Zhaine Marie Samorro Toda

• General Practice Dentistry in North Chicago, IL
• Providers in North Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.