DR. MICHAEL JONATHAN THEISS DDS
NPI 1235628991
Dentist - Oral and Maxillofacial Surgery in Pembroke Pines, FL

Q: What is Michael Theiss's NPI number?

The NPI number for Michael Theiss is 1235628991. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Q: What is Michael Theiss's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Michael Theiss was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment

17901 NW 5TH STREET, SUITE # 101, PEMBROKE PINES, FL 33029(954) 437-2222(954) 437-2244 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2022, Sep 19, 2019, May 8, 2018 (3 updates tracked since 2018).

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About Dr. Michael Jonathan Theiss Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JONATHAN THEISS DDS (NPI 1235628991) is an individual oral and maxillofacial surgery provider in Pembroke Pines, Florida, licensed in Florida (DN26758) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boca Raton, and is a graduate of State Un Of Ny, Stony Brook School Of Dental Med (2018).

NPPES Registry Identity

NPI1235628991

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MICHAEL JONATHAN THEISSCredential: DDS

Location Address17901 NW 5TH STREET, SUITE # 101Pembroke Pines, FL 33029

Mailing Address790 E Broward Blvd, Unit 2403Fort Lauderdale, FL 33301 · (516) 359-9194

Phone(954) 437-2222

Fax(954) 437-2244

Sole ProprietorNo

Medical School CMSState Un Of Ny, Stony Brook School Of Dental MedGraduated 2018

Enumeration DateMay 8, 2018

Last NPPES UpdateMay 21, 20243 updates tracked since enumeration

NPPES CertifiedMay 21, 2024

✔ NPI 1235628991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in FL · DN26758✔ Licensed in VA · 0442000331

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 0442000331 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

17901 NW 5TH STREET, Pembroke Pines, FL 33029

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Secondary Practice Location 1

Location 12600 N Military Trl Ste 350Boca Raton, FL 33431-6315 · Phone (561) 465-2059

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Jonathan Theiss Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244587244

PECOS Enrollment IDI20231130000069

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VITRA GOSINE M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

17901 NW 5TH STREET, SUITE #103
PEMBROKE PINES, FL 33029

Broward County (954) 538-0022

SPEXSEE LLC

Eyewear Supplier

17901 NW 5TH STREET, SUITE 204A
PEMBROKE PINES, FL 33029

Broward County (754) 300-1985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Theiss's NPI number?

The NPI number for Michael Theiss is 1235628991. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Michael Theiss located?

Michael Theiss practices at 17901 NW 5th Street Suite # 101, Pembroke Pines, FL 33029. The listed phone number is (954) 437-2222.

What is Michael Theiss's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Theiss enrolled in Medicare?

Yes. Michael Theiss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Theiss accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Michael Theiss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Theiss was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.