Michael J. Sullivan, D.D.S., Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30.016980 Issued in OH

Legal business name

MICHAEL J. SULLIVAN, D.D.S., INC

Practice address

1882 Hard Rd
Columbus, OH 43235-1996

Phone

(614) 761-9393

Fax

(617) 761-9363

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Andrea Leigh Sullivan

Title

Office Manager

Phone

(614) 761-9393

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Efrain Hernandez, DMD

  • Dentist
  • Columbus, OH
  • NPI 1407418700
  NPD (past)
• Mark Christopher Pagano, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1588143838
  NPD (past)
• Michael James Sullivan, D.D.S.

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1154672038
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1689088056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 HARD RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351996",
            "telephone_number": "614-761-9393",
            "fax_number": "617-761-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 HARD RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351996",
            "telephone_number": "614-761-9393",
            "fax_number": "617-761-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. SULLIVAN, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-761-9393"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.016980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154672038",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469265",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Soult DMD & Albert H Hackman III, Inc.
• Michael D Conaway MD LLC
• Michael D. Bobb, Jr., DO, LLC
• Michael G. Saribalas D.O.
• Michael J Cooney MD Mark D Ricaurte MD and Associates Inc
• Michael L Weiss MD LTD
• Michael Lewis Counseling Services
• Michael M Alexander DO Inc
• Michael Makeba
• Michael Perciful Dba Counseling Solutions

• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.