Dennis Michael Sullivan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-2247 Issued in OR

Legal business name

DENNIS MICHAEL SULLIVAN, D.C.

Practice address

2305 SE Washington St Ste 109
Milwaukie, OR 97222-7647

Phone

(503) 709-8946

Fax

(503) 659-4445

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dennis M. Sullivan, D.C.NPI 1073552873

Title

Owner

Phone

(503) 709-8946

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dennis Michael Sullivan, D.C.

  • Chiropractor
  • Milwaukie, OR
  • NPI 1073552873
  NPD (past) Authorized official

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1710258397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 109",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-709-8946",
            "fax_number": "503-659-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 109",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-709-8946",
            "fax_number": "503-659-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS MICHAEL SULLIVAN, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-709-8946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1073552873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Delgadillo-Torres
• Carol Delima, LMT
• Tia Delphina, RN
• Kelly Demski, COTA
• Dennis D. Iverson, DDS, PC
• Alisha Denovitz, SPEECH LANGUAGE PATH
• Shawn Michael Deremer, M.D.
• Alex H Deryan, OCCUPATIONAL THERAPI
• Marisa P Desantis, OT
• Katie Desroches

• Chiropractor in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.