Dr. Terrence J. Sullivan D.C. Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

24230 Issued in CA

Legal business name

DR. TERRENCE J. SULLIVAN D.C. INC.

Practice address

1007 Calimesa Blvd
Suite F
Calimesa, CA 92320-1131

Phone

(909) 795-8984

Fax

(909) 795-8985

NPI assigned

Jan 17, 2007

Organization subpart

No

Name

Dr. Terrence Jerald Sullivan, D.CNPI 1689604407

Title

Office Manager

Phone

(909) 795-8984

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

• Terrence Jerald Sullivan, D.C.

  • Chiropractor
  • Calimesa, CA
  • NPI 1689604407
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528110004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 CALIMESA BLVD",
            "address_2": "SUITE F",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201131",
            "telephone_number": "909-795-8984",
            "fax_number": "909-795-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 CALIMESA BLVD",
            "address_2": "SUITE F",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923201131",
            "telephone_number": "909-795-8984",
            "fax_number": "909-795-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TERRENCE J. SULLIVAN D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "JERALD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-795-8984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colbi Pickl Licensed Clinical Social Worker Incorporated
• Comfort Medical Supply Inc
• Paul R. Contreras, D.C., F.I.C.P.A.
• Jeffrey Cronin
• Julie Depalma
• Gary Eirew, RPH
• Theldon Fryberger Jr., MSW, LCSW
• Future Stars Youth Services
• Sowmya Narayanan Gopalan, MSC SPEECH & HEARING
• Mark A Gray, D.C.

• All providers in Calimesa, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.