Michelle Sullivan

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDH-04675 Issued in IA

Practice address

3625 Utica Ridge Rd Ste C
Bettendorf, IA 52722-1653

Phone

(563) 259-6040

NPI assigned

Feb 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• My Myo Works LLC

  • Speech-Language Pathologist
  • Bettendorf, IA
  • NPI 1689328940
  NPD

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1780338459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 UTICA RIDGE RD STE C",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UTICA RIDGE RD STE C",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221653",
            "telephone_number": "563-259-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IA",
            "license": "RDH-04675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl E. Stratman, PT
• Dawn Strauss-Berta, DC
• Cathleen D Strelow, BS
• Carrie Stripling, MD
• Dee M Stumphy, MD
• Sustain Health and Wellness, LLC
• Mackenzie Nicole Swartz, ARNP FNP-C
• Mario Bautista Sy, M.D.
• Synergy Chiropractic & Holistic Health
• Jason A Tampir, PT

• Dental Hygienist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Dental Hygienist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.