Dennis Michael Sullivan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-2247 Issued in OR

Practice address

2305 SE Washington St
Suite 109
Milwaukie, OR 97222-7647

Phone

(503) 659-0064

Fax

(503) 659-0445

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• D. Michael Sullivan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Dennis Michael Sullivan, D.C.

  • Chiropractor
  • Milwaukie, OR
  • NPI 1710258397
  NPD (past) Authorized official
• Healing Path Acupuncture & Herbal Medicine

  • Acupuncturist
  • Milwaukie, OR
  • NPI 1457621039
  NPD (past)
• Live Well Health, PC

  • Neurology Chiropractor
  • Tigard, OR
  • NPI 1598907842
  NPD (past)
• Richard H. Crokin, DC PC

  • Chiropractor
  • Portland, OR
  • NPI 1497984884
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1073552873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST",
            "address_2": "SUITE 109",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-659-0064",
            "fax_number": "503-659-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST",
            "address_2": "SUITE 109",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-659-0064",
            "fax_number": "503-659-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D. MICHAEL",
            "last_name": "SULLIVAN",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eugene Su, PHARM. D.
• Ashley Christina Suarez Huerta
• Sue Chadwick Walker, DMD PC
• James Edward Suiter, FNP-BC / GNP-BC
• Austin Sullivan
• Kelly Sullivan, MSW, LCSW
• Lisa C. Sullivan, M.D.
• Summit Medical Group, LLC
• Jason Dean Sundseth, M.D.
• Sunnybrook Chiropractic Corp

• Chiropractor in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.