John P Theobald, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4270 Issued in OK

Practice address

1200 S Air Depot Blvd
I
Midwest City, OK 73110-4848

Phone

(405) 733-8136

NPI assigned

May 28, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lauren a. Huffaker, DDS, PLLC

  dba Red Rock Family Dentistry

  • Dental Clinic/Center
  • Midwest City, OK
  • NPI 1477073526
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952358616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 SE 55TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731504531",
            "telephone_number": "405-733-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S AIR DEPOT BLVD",
            "address_2": "I",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104848",
            "telephone_number": "405-733-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBALD",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tet Industries LLC
• Texoma Medical Services, Inc.
• The Intune Mother Society (Beehive Birth Consulting)
• The Sage Couch
• The Sequoyah Group
• Theraid Manufacturing, Inc. (Tmi)
• Therapy Link Solutions LLC
• Thomas Wilson Pharmacy Inc (Wilson Pharmacy)
• Allison Thomas, DPT
• Lisa Thomas, PT

• General Practice Dentistry in Midwest City, OK
• Providers in Midwest City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.