Thomas S Sullivan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

385 Issued in MA

Practice address

481 Ferry St
Malden, MA 02148-7851

Phone

(781) 605-0505

Fax

(781) 605-3458

NPI assigned

Aug 29, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Wellness Health Care Corporation

  • Chiropractor
  • Boston, MA
  • NPI 1114388162
  Authorized official Same address or phone
• Compass Chiropractic Services LLC

  • Chiropractor
  • Malden, MA
  • NPI 1528544624
  NPD (past) Authorized official
• Wellness Health Care LLC

  • Health Service Clinic/Center
  • Dorchester, MA
  • NPI 1942596184
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548379233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 DORCHESTER AVE 2FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021222950",
            "telephone_number": "617-822-0900",
            "fax_number": "617-822-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 FERRY ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021487851",
            "telephone_number": "781-605-0505",
            "fax_number": "781-605-3458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Hancock St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021712249",
            "country_code": "US",
            "telephone_number": "617-471-7777",
            "fax_number": "617-471-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1377 Dorchester Ave 2FL",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021222950",
            "country_code": "US",
            "telephone_number": "617-822-0900",
            "fax_number": "617-822-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "720367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PHC",
            "identifier": "AA61550",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y35231",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11609670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Stump
• Dennis Su, DMD
• Subhash C Bowry MD PC
• James Patrick Sullivan, MD
• Laura J Sullivan, MD
• Timothy Sullivan, LICSW
• Supportive Care
• Joseph W Surette, D.C.
• Jill E Swartz, M.D.
• Alison Swiatocha

• Chiropractor in Malden, MA
• Providers in Malden, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.