Majd Theodory, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107766 Issued in CA

Practice address

1461 Ford St Ste 101
Redlands, CA 92373-3908

Phone

(909) 793-0111

NPI assigned

Aug 12, 2022

Last updated

May 17, 2023By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rittu Gill, D.D.S., Inc.

  • Dental Clinic/Center
  • Ontario, CA
  • NPI 1245813286
  NPD (past)

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1386372639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25779 MISSION RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542524",
            "telephone_number": "626-290-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 FORD ST STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733908",
            "telephone_number": "909-793-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORY",
        "first_name": "MAJD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlea Thayer, LVN
• The Botox Spot Physician Assistant Corporation (The Botox Spot)
• The Bright Side, Speech Therapy, Inc.
• The Hills of Stillman
• The South Lane II
• Chance Thepmontry-Nhep
• Cedric N Thiel, MD
• Shelley Thiel, M.D.
• Brianna Emilia Thirant, NP
• Thomas Psychology Group PC

• Dentist in Redlands, CA
• Providers in Redlands, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.