Active NPI
Thomas D Theil, D.D.S.
- General Practice Dentistry
- Huber Heights, OH
National Provider Identifier
1275742868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31-020160
- Practice address
- 5509 Brandt Pike
Huber Heights, OH 45424-6117 - Phone
- (937) 233-7121
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31-020160 | OH | Primary |
Addresses
Primary practice location
5509 Brandt Pike
Huber Heights, OH 45424-6117
Mailing address
5509 Brandt Pike
Huber Heights, OH 45424-6117
Phone (937) 233-7121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31-020160 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert R. Theil D.D.S. and Thomas D. Theil D.D.S., Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Theil and Theil, D.D.S., Inc.
- General Practice Dentistry
- Huber Heights, OH
- NPI 1952510547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275742868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 BRANDT PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454246117",
"telephone_number": "937-233-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 BRANDT PIKE",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454246117",
"telephone_number": "937-233-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEIL",
"first_name": "THOMAS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "31-020160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
- Antoinette Tegtmeier, MSW, LCSW
- Jeralyn Renee Tharp, LPCC-S LICDC
- The Lactation Network, LLC
- The Laurels of Huber Heights, LLC (The Laurels of Huber Heights)
- The Wave of Huber Heights, LLC
- Bailey Madison Thirtyacre, LPCC
- John Walter Thomas, MD
- Tiffany Thomas, RBT
- Heidi L Thompson, MPT
- Kaleah Thompson, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.