J. KELLY THEISEN, D.D.S.
NPI 1871979393
Dentist in Fort Morgan, CO

Q: What is J. Kelly Theisen, D.D.S.'s NPI number?

The NPI number for J. Kelly Theisen, D.D.S. is 1871979393. It was assigned to this organization in the NPPES registry on August 6, 2015.

Q: What is J. Kelly Theisen, D.D.S.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 06, 2015

521 E RAILROAD AVENUE, FORT MORGAN, CO 80701(970) 867-2256(970) 542-9464 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About J. Kelly Theisen, D.d.s. NPPES

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

J. KELLY THEISEN, D.D.S. (NPI 1871979393) is a healthcare organization registered as a dentist in Fort Morgan, Colorado and active in the NPI registry since August 2015. The organization lists John Kelly Theisen, Owner, as its authorized official.

NPPES Registry Identity

NPI1871979393

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameJ. KELLY THEISEN, D.D.S.

Location Address521 E RAILROAD AVENUEFort Morgan, CO 80701-3331

Mailing Address521 E Railroad AvenueFort Morgan, CO 80701-3331 · (970) 867-2256 · Fax (970) 542-9464

Phone(970) 867-2256

Fax(970) 542-9464

Organization SubpartNo

Authorized OfficialJohn Kelly TheisenOwner · (970) 867-2256

Enumeration DateAugust 6, 2015

✔ NPI 1871979393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · DEN00106339

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

521 E RAILROAD AVENUE, Fort Morgan, CO 80701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 J. Kelly Theisen, D.D.S.'s NPI number?

The NPI number for J. Kelly Theisen, D.D.S. is 1871979393. It was assigned to this organization in the NPPES registry on August 6, 2015.

Where is J. Kelly Theisen, D.D.S. located?

J. Kelly Theisen, D.D.S. is located at 521 E Railroad Avenue, Fort Morgan, CO 80701. The listed phone number is (970) 867-2256.

What is J. Kelly Theisen, D.D.S.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for J. Kelly Theisen, D.D.S. was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.