Sonia El-Kweifi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00205903 Issued in CO

Practice address

1022 Liberty LN
Pueblo, CO 81001-2039

Phone

(719) 621-9682

NPI assigned

Jul 28, 2014

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Dr John Ricci DMD Dba Charles Street Dental

  dba Charles Street Dental

  • General Practice Dentistry
  • North Providence, RI
  • NPI 1528325693
  NPD (past)

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1497163075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 LIBERTY LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012039",
            "telephone_number": "719-621-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 LIBERTY LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012039",
            "telephone_number": "719-621-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-KWEIFI",
        "first_name": "SONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205903",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Ehrhardt, MD
• James Alan Eickelman, O.D.
• Eidolon Medical Services PLLC
• Suhaib El Khatib
• El Pueblo Boys' and Girls' Ranch, Inc. (El Pueblo...an Adolescent Treatment Community)
• Judith D. Elder, L.P.C.
• Jacquelyn L Eleson, DNAP, CRNA
• Elevate Healthcare Lab LLC
• Elevate Healthcare LLC
• Elevate Healthcare LLC

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.