TIMOTHY THEOBALD DDS PLLC
NPI 1508701962
Clinic/Center - Dental in North Chicago, IL

NPI Status: Active since April 22, 2026

Contact Information

2127 GREEN BAY RD
NORTH CHICAGO, IL
ZIP 60064
Phone: (847) 336-8478

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  • Organization
  • Clinic/Center
  • Dental

About TIMOTHY THEOBALD DDS PLLC

This page provides the complete NPI Profile along with additional information for Timothy Theobald Dds Pllc, a provider established in North Chicago, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1508701962 assigned on April 2026. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Dr. Timothy David Theobald (Owner)

NPI
1508701962
Provider Name
TIMOTHY THEOBALD DDS PLLC
Entity Type
Organization
Location Address
2127 GREEN BAY RD NORTH CHICAGO, IL 60064
Location Phone
(847) 336-8478
Mailing Address
2127 GREEN BAY RD NORTH CHICAGO, IL 60064
Mailing Phone
(847) 336-8478
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2026
Last Update Date
04-22-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TIMOTHY DAVID THEOBALD

Authorized Official Title
OWNER
Authorized Official Phone
(847) 431-4318

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508701962, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 4 + 0 + 2 + 9 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1508701962.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dental Hygienist
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dental Hygienist
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dentist
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Clinic/Center (Dental)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508701962, enumerated as an "organization" on April 22, 2026.

The provider is located at 2127 GREEN BAY RD NORTH CHICAGO, IL 60064 and the phone number is (847) 336-8478.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.