Active NPI
Michael C. Theurer DDS,Ms,PC
Doing business as Theurer Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lancaster, CA
National Provider Identifier
1407013113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 33859
- Legal business name
- MICHAEL C. THEURER DDS,MS,PC
- Doing business as
- Theurer Orthodontics
- Practice address
- 1629 W Avenue J
Suite 108
Lancaster, CA 93534-2830 - Phone
- (661) 949-2290
- Fax
- (661) 945-4754
- NPI assigned
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Kellogg, RDA
- Title
- Insurance Coordinator
- Phone
- (661) 949-2290
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 Ste 108
Lancaster, CA 93534-2851
Phone (661) 949-2290
Other names 1
- THEURER ORTHODONTICS
National Provider Directory
National Provider DirectoryLocations
1629 W Avenue J
Ste 108
Lancaster, CA 93534
Phone (661) 949-2290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lancaster, CA
- NPI 1235104613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1407013113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 W AVENUE J STE 108",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342851",
"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": {
"organization_name": "MICHAEL C. THEURER DDS,MS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "KELLOGG",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "661-949-2290",
"authorized_official_credential": "RDA"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "33859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THEURER ORTHODONTICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.