Organization Active NPI

Matthieu Sullivan DDS Corp

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1376431346
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MATTHIEU SULLIVAN DDS CORP
Practice address
8540 S Sepulveda Blvd Ste 800
Los Angeles, CA 90045-3828
Phone
(310) 670-1200
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Matthieu Sullivan, DDSNPI 1871026328
Title
President
Phone
(918) 850-1850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 800
Los Angeles, CA 90045-3828

Mailing address

3917 Via Solano
Palos Verdes Estates, CA 90274-1127

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1376431346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 VIA SOLANO",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453828",
            "telephone_number": "310-670-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHIEU SULLIVAN DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MATTHIEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-850-1850",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.