Omar El-Kweifi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30945 Issued in TX

Practice address

1809 Louise LN
200
Pearsall, TX 78061-1500

Phone

(830) 505-7301

NPI assigned

Sep 23, 2015

Last updated

Sep 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Omar E. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Limou Dental PLLC

  • General Practice Dentistry
  • Pearsall, TX
  • NPI 1306491923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1386013118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MEDICAL DR",
            "address_2": "APT #1718",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295389",
            "telephone_number": "832-859-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 LOUISE LN",
            "address_2": "200",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780611500",
            "telephone_number": "830-505-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-KWEIFI",
        "first_name": "OMAR",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMAR",
            "last_name": "E.",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jazmyn Jessica Contreras, LPC, LCDC
• Marlon J Cook, CRNA
• Nora H Cruz
• Daily Health Services, Inc. (Daily Primary Home Care of Pearsall)
• Dva Healthcare Renal Care Inc (Pearsall Dialysis)
• Patrick M Fagan II, FNP
• Laurie Deanne Falcon, FNP
• Rogerio Lazaro Flores, PTA
• Roberta Kay Freitas
• Chesney Jo Friesenhahn, OTR/L, OTD

• General Practice Dentistry in Pearsall, TX
• Providers in Pearsall, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.