NPIMap

Organization Active NPI

Sullivan Surgical Arts

  • Dental Clinic/Center
  • Brentwood, TN
National Provider Identifier
1558031013
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SULLIVAN SURGICAL ARTS
Practice address
5015 Harpeth Dr
Brentwood, TN 37027-7511
Phone
(615) 373-1012
Fax
(615) 373-3819
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Dr. Richard H Sullivan IV, DDS
Title
Co Owner-Denist
Phone
(615) 373-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5015 Harpeth Dr
Brentwood, TN 37027-7511

Mailing address

5015 Harpeth Dr
Brentwood, TN 37027-7511
Phone (615) 373-1012

National Provider Directory

National Provider Directory

Locations

5015 Harpeth Dr
Brentwood, TN 37027
Phone (615) 373-1012

Practitioners & affiliated clinicians

Practitioners 4

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": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1558031013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 HARPETH DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277511",
            "telephone_number": "615-373-1012",
            "fax_number": "615-373-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 HARPETH DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277511",
            "telephone_number": "615-373-1012",
            "fax_number": "615-373-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN SURGICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CO OWNER-DENIST",
        "authorized_official_telephone_number": "615-373-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.