Jeff Theis DMD MSD PS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00009909 Issued in WA

Legal business name

JEFF THEIS DMD MSD PS

Doing business as

Smokey Point Orthodontics

Practice address

3325 Smokey Point Dr
Suite 102
Arlington, WA 98223-7803

Phone

(360) 659-5749

Fax

(360) 653-1646

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Eric Theis, DMD, MSD

Title

President

Phone

(360) 659-5749

Specialties & licenses 1

Addresses

Other names 1

• Smokey Point Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1528080405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 SMOKEY POINT DR",
            "address_2": "SUITE 102",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237803",
            "telephone_number": "360-659-5749",
            "fax_number": "360-653-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 SMOKEY POINT DR",
            "address_2": "SUITE 102",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237803",
            "telephone_number": "360-659-5749",
            "fax_number": "360-653-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF THEIS DMD MSD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-659-5749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smokey Point Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Arlington, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.