Organization Active NPI

Michael C. Theurer DDS,Ms,PC

Doing business as Theurer Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lancaster, CA
National Provider Identifier
1407013113
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
33859 Issued in CA
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

Updated by the provider on Sep 9, 2008

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.