Charles Norman Theobald, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

HDI00291 Issued in CO

Practice address

200 W County Line Rd
Suite 210
Highlands Ranch, CO 80129-2360

Phone

(303) 791-0413

Fax

(303) 791-2341

NPI assigned

Sep 22, 2005

Reactivated

Apr 10, 2006

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.

• Charles N.Theobald D.D.S.,P.C.

  • General Practice Dentistry
  • Highlands Ranch, CO
  • NPI 1356701072

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376539619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD",
            "address_2": "SUITE 210",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292360",
            "telephone_number": "303-791-0413",
            "fax_number": "303-791-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COUNTY LINE RD",
            "address_2": "SUITE 210",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292360",
            "telephone_number": "303-791-0413",
            "fax_number": "303-791-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBALD",
        "first_name": "CHARLES",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "HDI00291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David N Thomas, CFA

• All providers in Highlands Ranch, CO
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.