Active NPI
Kevin Lee Theiss, DMD
- Dentist
- Saint Louis, MO
National Provider Identifier
1144604919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2015018520
- Practice address
- 22 N Euclid Ave Ste 220
Saint Louis, MO 63108-1407 - Phone
- (314) 228-3994
- NPI assigned
- Jul 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2015018520 | MO | Primary |
Addresses
Primary practice location
22 N Euclid Ave Ste 220
Saint Louis, MO 63108-1407
Mailing address
22 N Euclid Ave Ste 220
Saint Louis, MO 63108-1407
Phone (314) 228-3994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015018520 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Dental Consultants, Inc | Past | Accepting new patients | |
| Joseph P. Cutrona, D.M.D., LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Saint Louis, MO
- NPI 1619208295
-
- Dentist
- Saint Louis, MO
- NPI 1528338894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1144604919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 N EUCLID AVE STE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081407",
"telephone_number": "314-228-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N EUCLID AVE STE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081407",
"telephone_number": "314-228-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEISS",
"first_name": "KEVIN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-11",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2015018520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.