James B Theilen DDS &Jerry E Theilen DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

12551 Issued in MO

Legal business name

JAMES B THEILEN DDS &JERRY E THEILEN DDS PC

Practice address

244 E US Highway 69
Suite 101
Claycomo, MO 64119-3115

Phone

(816) 454-1313

Fax

(816) 454-5377

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James B Theilen, DDS

Title

Dentist President

Phone

(816) 454-1313

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639268972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E US HIGHWAY 69",
            "address_2": "SUITE 101",
            "city": "CLAYCOMO",
            "state": "MO",
            "postal_code": "641193115",
            "telephone_number": "816-454-1313",
            "fax_number": "816-454-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E US HIGHWAY 69",
            "address_2": "SUITE 101",
            "city": "CLAYCOMO",
            "state": "MO",
            "postal_code": "641193115",
            "telephone_number": "816-454-1313",
            "fax_number": "816-454-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B THEILEN DDS &JERRY E THEILEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THEILEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "816-454-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "12550",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "12551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard R Feldhaus, DDS
• Sarah Elizabeth Noble, PHARMD
• Morgan Shockey, DDS
• Jerry Edward Theilen, DDS
• Village of Claycomo
• Casey Wallis, LCPC

• Dentist in Claycomo, MO
• Providers in Claycomo, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.