John Sullivan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1701 Issued in MS

Practice address

1025 Division St
Suite F
Biloxi, MS 39530-2906

Phone

(228) 432-5222

Fax

(228) 432-5223

NPI assigned

Apr 17, 2007

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)

Enrolled

State licenses

Practice roles

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.

• Medical Analysis Dentistry

  • General Practice Dentistry
  • Biloxi, MS
  • NPI 1942677828
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1508082835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 LEWIS AVE",
            "address_2": "SUITE 5",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395011002",
            "telephone_number": "228-432-5222",
            "fax_number": "228-432-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DIVISION ST",
            "address_2": "SUITE F",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302906",
            "telephone_number": "228-432-5222",
            "fax_number": "228-432-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Strom, AU.D.
• Shyra Nicole Stubbs, LCSW
• Joshua Ormon Sturgis, PCMHT
• Brittany Suber, MSN, PMHNP
• Amber J Sulahria, AU.D., CCC-A
• Lauren Sullivan
• Wendy Brown Sullivan, LMSW
• Summit Wellness of la-Ms LLC
• Sun Coast Anesthesia PA
• Adnan Ahmad Sunji, MD

• Dentist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.