Individual provider · Type 1 NPI

Dustin Theis, DPM

Foot & Ankle Surgery Podiatrist · Folsom, CA

NPI number 1669009791 Active

Practice location

1580 Creekside Dr Ste 100
Folsom, CA 95630-3887

Mailing address

5120 Manzanita Ave Ste 100
Carmichael, CA 95608-0590

Other practice locations

  • 6600 Mercy Ct Ste 260, Fair Oaks, CA 95628-3190 · (916) 961-3434

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5979 (CA)
Podiatrist 213E00000X5979 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1669009791

Dustin Theis, DPM's National Provider Identifier is 1669009791, issued on Mar 26, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Folsom, CA. The record was last updated on Apr 17, 2025.