Collins Joseph Sullivan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033384 Issued in CA

Practice address

967 W 7TH St
Oxnard, CA 93030-6756

Phone

(805) 487-0435

Fax

(805) 487-2119

NPI assigned

Jan 16, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649321522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306756",
            "telephone_number": "805-487-0435",
            "fax_number": "805-487-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306756",
            "telephone_number": "805-487-0435",
            "fax_number": "805-487-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "COLLINS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "033384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mollie Katherine Strain
• Jennifer Stuart, RN
• Silvana Stuthers
• Jennifer Suapaia, M.S. L.M.F.T
• Barbara Jean Suggs
• Kaleena Summers
• Sun Moon & Stars Medical Corporation
• Grace Shou-En Sun, M.D.
• Sunrise Manor LLC
• Sunrise Physical Therapy Services, Inc

• General Practice Dentistry in Oxnard, CA
• Providers in Oxnard, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.