NPIMap

Organization Active NPI

Cornelius J. O'Sullivan IV, DDS, LLC

Doing business as O'Sullivan Family Dentistry

  • Dental Clinic/Center
  • North Olmsted, OH
National Provider Identifier
1730961616
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CORNELIUS J. O'SULLIVAN IV, DDS, LLC
Doing business as
O'Sullivan Family Dentistry
Practice address
23755 Lorain Rd
North Olmsted, OH 44070-2260
Phone
(440) 779-8730
NPI assigned
Oct 16, 2023
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Dr. Cornelius Joseph O'Sullivan IV, DDSNPI 1467076034
Title
General Dentist
Phone
(216) 407-4351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

23755 Lorain Rd
North Olmsted, OH 44070-2260

Mailing address

23755 Lorain Rd
North Olmsted, OH 44070-2260
Phone (440) 779-8730

Other names 1

  • O'Sullivan Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

23755 Lorain Rd
North Olmsted, OH 44070
Phone (440) 779-8730

Practitioners & affiliated clinicians

Practitioners 2

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": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1730961616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23755 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702260",
            "telephone_number": "440-779-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23755 LORAIN RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702260",
            "telephone_number": "440-779-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS J. O'SULLIVAN IV, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "216-407-4351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Sullivan Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.