Robert Thielman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8510 Issued in MN

Practice address

14050 Pilot Knob Rd
Suite 108
Apple Valley, MN 55124-6647

Phone

(952) 423-4414

Fax

(952) 423-7174

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• East Valleydental, PA

  • Dental Clinic/Center
  • Apple Valley, MN
  • NPI 1144490723
  NPD (past) Authorized official
• Minnesota Dental Professionals, P.C.

  dba Mosaic Dental-Apple Valley

  • General Practice Dentistry
  • Apple Valley, MN
  • NPI 1154926939
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689695298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 PILOT KNOB RD",
            "address_2": "SUITE 108",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246647",
            "telephone_number": "952-423-4414",
            "fax_number": "952-423-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 PILOT KNOB RD",
            "address_2": "SUITE 108",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246647",
            "telephone_number": "952-423-4414",
            "fax_number": "952-423-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELMAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melanie R. Theis, M.ED. CCC-SLP
• Marisa Thomford
• John Paul Thompson, B.S. D.C.
• Perry Thompson, MD
• Sarah Thompson, FNP
• Thrivve LLC

• General Practice Dentistry in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.