Organization Active NPI

David Theis, D.O., P.C.

  • Rheumatology Physician
  • Colorado Springs, CO
National Provider Identifier
1740718998
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS017698 Issued in PA
Legal business name
DAVID THEIS, D.O., P.C.
Practice address
595 Chapel Hills Dr Ste 201
Colorado Springs, CO 80920-1056
Phone
(719) 475-9613
Fax
(719) 475-9539
NPI assigned
Jun 1, 2017
Last updated
Jun 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Authorized official

Name
Dr. David Theis, DONPI 1104147453
Title
Physician
Phone
(740) 317-9272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS017698 PA Primary

Addresses

Primary practice location

595 Chapel Hills Dr Ste 201
Colorado Springs, CO 80920-1056

Mailing address

595 Chapel Hills Dr Ste 201
Colorado Springs, CO 80920-1056
Phone (719) 475-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170831002860 CO Part B Supplier - Clinic/Group Practice 9436422185 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1740718998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201056",
            "telephone_number": "719-475-9613",
            "fax_number": "719-475-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201056",
            "telephone_number": "719-475-9613",
            "fax_number": "719-475-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID THEIS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-317-9272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "OS017698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.