For a given irrational number $\theta$, we define Toeplitz operators with symbols in the irrational rotation algebra ${{\mathcal{A}}_{\theta }}$, and we show that the ${{C}^{*}}$ algebra $\mathfrak{J}\left( {{\mathcal{A}}_{\theta }} \right)$ generated by these Toeplitz operators is an extension of ${{\mathcal{A}}_{\theta }}$ by the algebra of compact operators. We then use these extensions to explicitly exhibit generators of the group $K{{K}^{1}}\left( {{\mathcal{A}}_{\theta }},\mathbb{C} \right)$. We also prove an index theorem for $\mathfrak{J}\left( {{\mathcal{A}}_{\theta }} \right)$ that generalizes the standard index theorem for Toeplitz operators on the circle.