NPIMap

Organization Active NPI

Thad a. Sullens, D.M.D., PC

  • General Practice Dentistry
  • Trussville, AL
National Provider Identifier
1578765368
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5163 Issued in AL
Legal business name
THAD A. SULLENS, D.M.D., PC
Practice address
7040 Gadsden Hwy
Ste 112
Trussville, AL 35173-2680
Phone
(205) 655-5219
NPI assigned
Jun 4, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Thad Sullens, D.M.D.NPI 1780886564
Title
President
Phone
(205) 655-5219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5163 AL Primary

Addresses

Primary practice location

7040 Gadsden Hwy
Ste 112
Trussville, AL 35173-2680

Mailing address

7040 Gadsden Hwy
Ste 112
Trussville, AL 35173-2680

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1578765368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 GADSDEN HWY",
            "address_2": "STE 112",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 GADSDEN HWY",
            "address_2": "STE 112",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732680",
            "telephone_number": "205-655-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAD A. SULLENS, D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "SULLENS",
        "authorized_official_first_name": "THAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-655-5219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.