Charles N.Theobald D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00291 Issued in CO

Legal business name

CHARLES N.THEOBALD D.D.S.,P.C.

Practice address

200 W County Line Rd Ste 210
Highlands Ranch, CO 80129-2342

Phone

(303) 791-0413

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Charles N Theobald, D.D.S.NPI 1376539619

Title

Owner/Presedent

Phone

(303) 791-0413

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Charles Norman Theobald, DDS

  • General Practice Dentistry
  • Highlands Ranch, CO
  • NPI 1376539619
  NPD (past) Authorized official
• April Renee Kenworthy, RDH

  • Dental Hygienist
  • Highlands Ranch, CO
  • NPI 1396381810
  NPD (past)
• Kyle Russell O'Donnell, D.D.S.

  • Dentist
  • Highlands Ranch, CO
  • NPI 1982957775

  General Practice

  NPD (past)

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1356701072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD STE 210",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292342",
            "telephone_number": "303-791-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD STE 210",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292342",
            "telephone_number": "303-791-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES N.THEOBALD D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "THEOBALD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/PRESEDENT",
        "authorized_official_telephone_number": "303-791-0413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raina Chandiramani
• Kyung H Chang, RPH
• Carrie Ann Chanos, PA-C
• Thomas J Chapman, DDS
• Charles Giarratana MD
• Chatterbox Pediatric Therapy
• Eric S Chatterley, D.D.S.
• Victor S Chavez-Abraham, SA-C,RN
• Avilene Chavez-Ayala
• Cherie Hammer LLC

• General Practice Dentistry in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.