KEVIN L THEROUX (NPI# 1902807977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902807977 |
| Entity Type | Individual |
| Full Name | KEVIN L THEROUX |
| Credential | D.D.S,M.S. |
| Practice Address |
10450 Park Meadows Dr Lonetree CO 80124-5530 |
| Mailing Address |
10450 Park Meadows Dr #300 Lonetree CO 80124-5529 |
| Practice Telephone | 3037790565 |
| Practice Fax Number | 3037909376 |
| Mailing Telephone | 3037790565 |
| Mailing Fax Number | 3037909376 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7495 | CO | Dental Providers |
| Street Address |
10450 PARK MEADOWS DR |
| City | LONETREE |
| State | CO |
| Zip Code | 80124-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225247554 | John James Ahern | Dentist | 10450 Park Meadows Dr, Suite 301, Lonetree, CO 80124-5529 | 2007-05-22 |
| 1629024674 | Jennifer Freezer | Physical Therapist | 10450 Park Meadows Dr, Suite 103, Lonetree, CO 80124 | 2006-05-25 |
| 1033169230 | Neospine Imaging of Denver | Radiologic Technologist | 10450 Park Meadows Dr, #108, Lonetree, CO 80124-5529 | 2006-05-11 |
| 1528016110 | Denver Spine Center | Clinic/Center | 10450 Park Meadows Dr, #200, Lonetree, CO 80124-5529 | 2006-05-05 |
| 1548258809 | Nancy C Grant | Dentist | 10450 Park Meadows Dr, Suite 308, Lonetree, CO 80124-5529 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996641 | Simko Orthodontics of Colorado, PC | Dentist | 6850 E Hampden Ave Ste 201, Denver, CO 80224-3024 | 2020-09-09 |
| 1457977407 | Ingrid De La Torre | Dentist | 16533 E 49th Ave Apt 208, Denver, CO 80239-5884 | 2020-06-24 |
| 1205450525 | David Wayne Hamula | Dentist | 1860 Woodmoor Dr Ste 200, Monument, CO 80132-9073 | 2020-06-02 |
| 1285260927 | Johnson Orthodontics | Dentist | 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 | 2020-03-13 |
| 1003441049 | Johnson Orthodontics | Dentist | 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 | 2020-03-10 |
| 1396379012 | Ascend Group Pllc | Dentist | 700 W Eisenhower Blvd Ste 100&110, Loveland, CO 80537-3105 | 2020-03-03 |
| 1720619497 | Irina Sharp | Dentist | 2200 E 104th Ave Ste 112, Thornton, CO 80233-4402 | 2020-01-30 |
| 1871124651 | Jeffrey L Collins Dds PC | Dentist | 19700 E Parker Square Dr Ste C, Parker, CO 80134-7300 | 2020-01-30 |
| 1740829290 | Charles F Reed Dds Ms PC | Dentist | 20971 E Smoky Hill Rd Ste 200, Centennial, CO 80015-5187 | 2020-01-02 |
| 1790324770 | Pine Top Orthodontics PC | Dentist | 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
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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.