DR. CHARLES NORMAN THEOBALD (NPI# 1376539619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376539619 |
| Entity Type | Individual |
| Full Name | DR. CHARLES NORMAN THEOBALD |
| Credential | DDS |
| Practice Address |
200 W County Line Rd Suite 210 Highlands Ranch CO 80129-2360 |
| Practice Telephone | 3037910413 |
| Practice Fax Number | 3037912341 |
| Mailing Telephone | 3037910413 |
| Mailing Fax Number | 3037912341 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-04-10 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
HDI00291 | CO | Dental Providers |
| Street Address |
200 W COUNTY LINE RD SUITE 210 |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80129-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650081 | Jane Anne Ruger | Family Medicine | 200 W County Line Rd, Suite 130, Highlands Ranch, CO 80129-2360 | 2005-06-28 |
| 1376098293 | Jaydeep N Khatri | Pharmacist | 200 W County Line Rd, Highlands Ranch, CO 80129-2360 | 2016-08-20 |
| 1003273269 | Cameron Caudle | Specialist/Technologist | 200 W County Line Rd, Suite #250, Highlands Ranch, CO 80129-2360 | 2016-01-19 |
| 1881948651 | Highlands Ranch Center for Aesthetic & Maxillofacial Surgery | Dentist | 200 W County Line Rd, Suite 230, Highlands Ranch, CO 80129-2360 | 2012-11-01 |
| 1891927265 | Inspire Orthodontics | Dentist | 200 W County Line Rd, Suite 260, Highlands Ranch, CO 80129-2360 | 2009-08-18 |
| 1780815217 | Kenneth Steven Peters | Dentist | 200 W County Line Rd, Suite 270, Highlands Ranch, CO 80129-2360 | 2009-07-31 |
| 1457512121 | Jonathan Compton Mills | Otolaryngology | 200 W County Line Rd, Suite 330, Highlands Ranch, CO 80129-2360 | 2008-06-24 |
| 1306966437 | Vision Care Specialists Inc | Optometrist | 200 W County Line Rd, Suite 150, Highlands Ranch, CO 80129-2360 | 2007-03-30 |
| 1811041122 | Leslie A Schipper | Family Medicine | 200 W County Line Rd, Ste 130, Highlands Ranch, CO 80129-2360 | 2007-01-23 |
| 1649370313 | Christopher Alan Mcconnell | Dentist | 200 W County Line Rd, Suite 240, Highlands Ranch, CO 80129-2360 | 2006-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874027 | Sarah Elizabeth Gerken | Occupational Therapist | 9375 Roadrunner Street, Highlands Ranch, CO 80129 | 2020-09-02 |
| 1952928863 | Juliana Le | Nurse Practitioner | 9088 S. Ridgeline Blvd, Highlands Ranch, CO 80129 | 2020-06-26 |
| 1376046367 | Richard F Shriner | Counselor | 1745 Shea Center Dr.. Ste. 421, Highlands Ranch, CO 80129 | 2018-03-15 |
| 1285145144 | Antonella Valencia | Specialist/Technologist | 8362 Erickson Blvd Apt 9304, Littleton, CO 80129 | 2017-10-18 |
| 1306384763 | Amy Neer | Physical Therapist | 9139 South Ridgeline Rd, Highlands Ranch, CO 80129 | 2017-02-06 |
| 1235673443 | Kathryn Lohrman | Physical Therapist | 1265 Sergeant Jon Stiles Drive, Suite D, Highlands Ranch, CO 80129 | 2016-12-06 |
| 1790237626 | Erica Elizabeth Alonzo | Physician Assistant | 9497 Wolfe Ct, Highlands Ranch, CO 80129 | 2016-10-26 |
| 1689129181 | Casey Elizabeth Bauer | Specialist/Technologist | 10504 Colby Canyon Dr, Highlands Ranch, CO 80129 | 2016-08-25 |
| 1558769539 | Kari Barton Md LLC | Clinic/Center | 9088 South Ridgeline Blve., Ste. #201, Highlands Ranch, CO 80129 | 2014-12-08 |
| 1710386461 | Linda L Williams Md PC | Community/Behavioral Health | 9088 S Ridgeline Blvd, Highlands Ranch, CO 80129 | 2014-08-19 |
| Find all providers in zip 80129 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649805748 | Fit To Smile Dental Partners Pllc | Dentist | 4185 E Wildcat Reserve Pkwy Ste 300, Highlands Ranch, CO 80126-6802 | 2020-03-09 |
| 1962900175 | Krupa M Soni | Dentist | 10926 Brooklawn Rd, Highlands Ranch, CO 80130-6628 | 2018-01-23 |
| 1497014880 | Michael Joseph Lueck | Dentist | 10224 Willowbridge Way, Highlands Ranch, CO 80126-7875 | 2012-05-07 |
| 1841514387 | Redstone Dental Group, LLP | Dentist | 1165 Sgt Jon Stiles Dr, Highlands Ranch, CO 80129-2246 | 2010-03-25 |
| 1841468329 | Lindsey Lee Dortch | Dentist | 3626 E Highlands Ranch Pkwy Unit 107, Highlands Ranch, CO 80126-7885 | 2008-02-18 |
| 1750564860 | Daniel Dymerski Dds | Dentist | 66 Springer Dr Ste 304, Highlands Ranch, CO 80129-2308 | 2007-12-11 |
| 1518171933 | David Louis Sewell | Dentist | 10083 Astorbrook Ln, Highlands Ranch, CO 80126-7834 | 2007-05-09 |
| 1326252594 | Highlands Ranch Dental Center | Dentist | 9461 S University Blvd, Highlands Ranch, CO 80126-4976 | 2007-05-09 |
| 1306969423 | Brent Douglas Bailey | Dentist | 66 Springer Dr Ste 204, Highlands Ranch, CO 80129-2307 | 2007-04-06 |
| 1912028713 | Lynelle Zabel | Dentist | 9385 S Colorado Blvd Unit 102, Highlands Ranch, CO 80126-5241 | 2007-04-02 |
| Find all providers in HIGHLANDS RANCH | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.