Loyd T Sullivan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS7385 Issued in TN

Practice address

4219 Hillsboro Pike Ste 107
Nashville, TN 37215-3309

Phone

(615) 469-0887

Fax

(061) 546-9015

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Belle Meade Family Dentistry

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1093817165
  NPD
• L. Temp Sullivan DDS PLLC

  dba Sullivan Dental Co

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1003550625
  NPD
• Iroquois Family Dentistry

  dba Iroquois Dentistry

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1992717573
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1750370953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 HILLSBORO PIKE STE 107",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153309",
            "telephone_number": "615-469-0887",
            "fax_number": "615-469-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 HILLSBORO PIKE STE 107",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153309",
            "telephone_number": "615-469-0887",
            "fax_number": "061-546-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LOYD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS7385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL - TNCARE",
            "identifier": "0016026",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Lizbeth Sullivan
• James Nelson Sullivan, M.D.
• Jaron Paul Sullivan, MD
• Katherine Lemaire Sullivan, AGACNP-BC
• Kathleen Pollard Sullivan, MD
• Meghan Campbell Sullivan, M.S. LPC-MHSP
• Molly Sullivan
• Ryan Alexander Sullivan, DO
• Sadie Sullivan
• Sarah Sullivan, DPT

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.