Organization Active NPI

Sullivan & Cohen, P.C.

  • General Practice Dentistry
  • Westfield, MA
National Provider Identifier
1215054598
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16639 Issued in MA
Legal business name
SULLIVAN & COHEN, P.C.
Practice address
49 Southwick Rd
Westfield, MA 01085-4729
Phone
(413) 572-9665
Fax
(413) 572-9606
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John J. Sullivan IV, D.M.D.
Title
Business Owner
Phone
(413) 572-9665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16639 MA Primary

Addresses

Primary practice location

49 Southwick Rd
Westfield, MA 01085-4729

Mailing address

49 Southwick Rd
Westfield, MA 01085-4729
Phone (413) 572-9665

Other identifiers 1

IdentifierTypeStateIssuer
X11020OtherMABCBSMA GROUP NUMBER

Other names 1

  • Your Dental Health Doing business as

National Provider Directory

National Provider Directory

Locations

49 Southwick Rd
Westfield, MA 01085
Phone (413) 568-6717

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215054598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SOUTHWICK RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854729",
            "telephone_number": "413-572-9665",
            "fax_number": "413-572-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SOUTHWICK RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010854729",
            "telephone_number": "413-572-9665",
            "fax_number": "413-572-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN & COHEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "413-572-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA GROUP NUMBER",
            "identifier": "X11020",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.