Meghan Maureen Sullivan Walsh, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS040751 Issued in PA

Practice address

3223 N Broad St
Philadelphia, PA 19140-5007

Phone

(215) 707-2803

NPI assigned

Aug 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Meghan Maureen Sullivan Walsh Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Delaware River Dentistry

  • Dental Clinic/Center
  • New Hope, PA
  • NPI 1770442717
  NPD Authorized official
• New Hope Solebury Dental Associates

  • Pediatric Dentistry
  • New Hope, PA
  • NPI 1467556563

  General Practice

  NPD (past)
• Newhope Solebury Dental LLC

  • General Practice Dentistry
  • New Hope, PA
  • NPI 1518026715
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1285828343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 RIVER DR",
            "city": "TITUSVILLE",
            "state": "NJ",
            "postal_code": "085601731",
            "telephone_number": "267-475-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-2803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Village Row",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189381061",
            "country_code": "US",
            "telephone_number": "215-862-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN WALSH",
        "first_name": "MEGHAN",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS040751",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "SULLIVAN WALSH",
            "middle_name": "MAUREEN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Suli
• Ibnouf Ibnouf Sulieman Sulieman, MD
• Armando M Sulit, MD
• Marcia R Sulkes, SPEECH THERAPIST
• Sarah Sulkowski
• Ameera Vonye Sullivan
• Aminda Sullivan
• Angela Renea Sullivan, LPTA
• Anne Marie Sullivan, PA-C
• Annemarie E Sullivan, LPC

• Pediatric Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.