Active NPI
Michael Clair Theurer, D.D.S.,MS,PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lancaster, CA
National Provider Identifier
1235104613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 33859
- Practice address
- 1629 W Avenue J
Suite 108
Lancaster, CA 93534-2830 - Phone
- (661) 949-2290
- Fax
- (661) 945-4754
- NPI assigned
- Feb 21, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 33859 | CA | Primary |
Addresses
Primary practice location
1629 W Avenue J
Suite 108
Lancaster, CA 93534-2830
Mailing address
1629 W Avenue J
Suite 108
Lancaster, CA 93534-2830
Phone (661) 949-2290
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33859 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael C. Theurer DDS,Ms,PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Advanced Sleep Appliances, LLC | 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.
-
dba Theurer Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lancaster, CA
- NPI 1407013113
-
- Customized Equipment (DME)
- St George, UT
- NPI 1700676400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1235104613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 W AVENUE J",
"address_2": "SUITE 108",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342830",
"telephone_number": "661-949-2290",
"fax_number": "661-945-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 W AVENUE J",
"address_2": "SUITE 108",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342830",
"telephone_number": "661-949-2290",
"fax_number": "661-945-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEURER",
"first_name": "MICHAEL",
"middle_name": "CLAIR",
"name_prefix": "Dr.",
"credential": "D.D.S.,MS,PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "33859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
- The Reflection Room
- The Women's Clinic a Medical Group of the Antelope Valley
- Thelma T Fernandez M D a Professional Corporation
- Christopher Theobald, LMFT
- Therapeutic Time Inc.
- Chitta Thiagarajah, M.D.
- Jennifer Thibodeau
- Thillery Group, LLC
- Thomas Neuman DPM Professional Corporation
- Alice Ann Thomas, HEARING AID DISPENSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.