R Peter Sonntag DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

R PETER SONNTAG DDS PLLC

Practice address

4130 Redwood LN
Suite 130
Pueblo, CO 81005-3295

Phone

(719) 564-1102

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Russell Peter Sonntag, DDS

Title

Owner

Phone

(719) 564-1102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1639321052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 REDWOOD LN",
            "address_2": "SUITE 130",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053295",
            "telephone_number": "719-564-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 REDWOOD LN",
            "address_2": "SUITE 130",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053295",
            "telephone_number": "719-564-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R PETER SONNTAG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "SONNTAG",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-564-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.