Steven Paul Theodosis, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

28365 Davis Parkway
Suite 206 Family First Dental LLC
Warrenville, IL 60555

Phone

(630) 836-8995

Fax

(630) 836-8996

NPI assigned

Sep 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Dental LLC

  • General Practice Dentistry
  • Warrenville, IL
  • NPI 1861553828
  NPD (past) Authorized official
• Edp of Illinois P.C

  • Dental Clinic/Center
  • Dupo, IL
  • NPI 1154712784
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1104012939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28365 DAVIS PARKWAY",
            "address_2": "SUITE 206 FAMILY FIRST DENTAL LLC",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "60555",
            "telephone_number": "630-836-8995",
            "fax_number": "630-836-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28365 DAVIS PARKWAY",
            "address_2": "SUITE 206 FAMILY FIRST DENTAL LLC",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "60555",
            "telephone_number": "630-836-8995",
            "fax_number": "630-836-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOSIS",
        "first_name": "STEVEN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ausra Tauginaite
• Carol Taylor, APRN, CNP
• Davache Taylor
• The Eye & Facial Clinic
• The Kulkarni Group, LTD
• Thomas J. Delacey, D.D.S.
• Lakay Thomas, PTA
• Richard K Thomas, MD
• Veda Joann Thomas
• Jamie Renee Thomure, DC

• Dentist in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.