NPIMap

Organization Active NPI

R.L. Sullivan, D.D.S. Inc.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Ware, MA
National Provider Identifier
1487950499
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
10928 Issued in MA
Legal business name
R.L. SULLIVAN, D.D.S. INC.
Practice address
40 Church St
Ware, MA 01082-1234
Phone
(413) 967-5833
Fax
(413) 967-5933
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Robert Lawrence Sullivan, D.D.S.NPI 1487668844
Title
Oral & Maxillofacial Surgeon
Phone
(413) 967-5833

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 10928 MA Primary

Addresses

Primary practice location

40 Church St
Ware, MA 01082-1234

Mailing address

40 Church St
Ware, MA 01082-1234
Phone (413) 967-5833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1487950499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CHURCH ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821234",
            "telephone_number": "413-967-5833",
            "fax_number": "413-967-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHURCH ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821234",
            "telephone_number": "413-967-5833",
            "fax_number": "413-967-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.L. SULLIVAN, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "413-967-5833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "10928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ware, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.