Individual provider Active NPI

Margaretanne Hartman Sullivan, DDS

  • General Practice Dentistry
  • Ellensburg, WA
National Provider Identifier
1679860068
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WA8306 Issued in WA
Practice address
307 E 2ND Ave
Ellensburg, WA 98926-3315
Phone
(509) 962-9020
Fax
(509) 925-9022
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WA8306 WA Primary

Addresses

Primary practice location

307 E 2ND Ave
Ellensburg, WA 98926-3315

Mailing address

307 E 2ND Ave
Ellensburg, WA 98926-3315
Phone (509) 962-9020

Other practice location 1

601 N Keys Rd
Yakima, WA 98901-1172
Phone (509) 225-3389 ext. 3640

Other names 1

  • Dr. Margaret Anne Hartman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
WA8306WAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: msullivan35991@yvfwc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1679860068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 2ND AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263315",
            "telephone_number": "509-962-9020",
            "fax_number": "509-925-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 2ND AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263315",
            "telephone_number": "509-962-9020",
            "fax_number": "509-925-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Keys Rd",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989011172",
            "country_code": "US",
            "telephone_number": "509-225-3389 x3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARGARETANNE",
        "middle_name": "HARTMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "WA8306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "HARTMAN",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.