Carolyn Nicole Sullens, D.D.S. P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7492 Issued in NC

Practice address

1998 Hendersonville Rd
Suite 21
Asheville, NC 28803-2349

Phone

(828) 681-2003

Fax

(828) 684-4764

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1437167806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 HENDERSONVILLE RD",
            "address_2": "SUITE 21",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032349",
            "telephone_number": "828-681-2003",
            "fax_number": "828-684-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 HENDERSONVILLE RD",
            "address_2": "SUITE 21",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032349",
            "telephone_number": "828-681-2003",
            "fax_number": "828-684-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLENS",
        "first_name": "CAROLYN",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "D.D.S. P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902P7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Maloch Sudderth, MSW,LCSWA
• Kimberly A Suess, P.A.
• Christopher Suhr, M.D.
• Gwyneth Caroline Magno Suico, PT
• Romeesa Sulkowski, RN
• Aidan Sullivan, PA
• Amanda Allien Vivian Sullivan, LCSW
• Diane Welter Sullivan, OTR
• Jacqueline Marie Sullivan, MSW, LCSW
• James F. Sullivan, OTRL

• General Practice Dentistry in Asheville, NC
• Providers in Asheville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.