Richard Hugh Sullivan IV, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10036 Issued in TN

Practice address

5023 Harpeth Dr
Brentwood, TN 37027-7511

Phone

(615) 373-1012

NPI assigned

Jun 8, 2015

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

Practice roles

Locations

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.

• Sullivan Surgical Arts

  • Dental Clinic/Center
  • Brentwood, TN
  • NPI 1558031013
  NPD

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1285014993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 CHERRYWOOD DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 HARPETH DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277511",
            "telephone_number": "615-373-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RICHARD",
        "middle_name": "HUGH",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noorulhuda A Sulaiman, PHARMD
• Liudmyla Sulii
• Sullivan Dental Partners PLLC
• Sullivan Surgical Arts
• Lynette M Sullivan
• Richard Hugh Sullivan, DDS
• Summit Medical Group PLLC
• Summit Medical Group, PLLC
• Summit Pharmacy Solutions LLC
• Savitha Sundar, M.S

• Dentist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.