John E Sullivan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018639 Issued in IL

Practice address

511 Thornhill Dr
Suite H
Carol Stream, IL 60188-2795

Phone

(630) 665-7350

Fax

(630) 665-0004

NPI assigned

Nov 21, 2006

Last updated

Oct 22, 2008By the provider in NPPES

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

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.

• John E. Sullivan, D.D.S. P.C.

  • General Practice Dentistry
  • Carol Stream, IL
  • NPI 1598914111
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1114092509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 EAST THORNHILL DRIVE",
            "address_2": "SUITE H",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882438",
            "telephone_number": "630-665-7350",
            "fax_number": "630-665-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 THORNHILL DR",
            "address_2": "SUITE H",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882795",
            "telephone_number": "630-665-7350",
            "fax_number": "630-665-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rose Stella, PT, DPT, CSCS
• Danielle Kathleen Stimmell
• Sara Ruth Stoy, RN
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• Charles Sugay, PTA
• Hiral Suthar
• Linda M Svazas, RPH
• Abdulaziz Syed, LCSW
• Symphony Medical Group PC
• Mary Taccona, APRN, FNP-BC

• General Practice Dentistry in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.