Aliya R Sullivan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D12234 Issued in MN

Practice address

7600 Sunwood Dr NW
Ramsey, MN 55303-5293

Phone

(763) 203-6040

NPI assigned

Aug 19, 2006

Last updated

Feb 11, 2016By 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 1

Addresses

Other names 1

• Aliya R Elmajri Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Northland Dental Partners, PLLC

  dba Metro Dentalcare St. Louis Park

  • General Practice Dentistry
  • St Louis Park, MN
  • NPI 1801043096
  NPD (past)
• Northland Dental Partners, PLLC

  dba Sunwood Dental Care

  • General Practice Dentistry
  • Ramsey, MN
  • NPI 1891443255
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1114031754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SUNWOOD DR NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553035293",
            "telephone_number": "763-203-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SUNWOOD DR NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553035293",
            "telephone_number": "763-203-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALIYA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIYA",
            "last_name": "ELMAJRI",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Steen, MD
• Taylor Stradinger
• Suburban Medical Equipment & Supply LLC.
• Suite Living Senior Care of Ramsey
• Mehendra Sukhdeo
• Marlin C Talam, RN
• McKenzie Techam, OTR/L
• Jesse Michael Ternus, DC
• The Twin River Homecare
• Regina Kristine Toensing

• Dentist in Ramsey, MN
• Providers in Ramsey, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.