Terence C Sullivan, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00006911 Issued in WA

Practice address

15224 Main St
Suite 302
Mill Creek, WA 98012-7316

Phone

(425) 385-2641

Fax

(425) 385-2644

NPI assigned

Jul 26, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Caber Investments, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1558248369
  NPD Authorized official
• Sullivan Orthodontics Inc PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mill Creek, WA
  • NPI 1295947448
  NPD (past) Authorized official
• Neal Bastian DDS MSD PLLC

  • Dental Clinic/Center
  • Mill Creek, WA
  • NPI 1528907425
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801819974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15224 MAIN ST",
            "address_2": "SUITE 302",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127316",
            "telephone_number": "425-385-2641",
            "fax_number": "425-385-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15224 MAIN ST",
            "address_2": "SUITE 302",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980127316",
            "telephone_number": "425-385-2641",
            "fax_number": "425-385-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TERENCE",
        "middle_name": "C",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00006911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret E Strazzo, PT
• Raymond J Struthers, M.A., LMFT
• Samantha Studley
• Stephen Stewart Stukovsky, MD
• Sullivan Orthodontics Inc PS
• Summit Consulting Group, Inc.
• Teerawit Supakorndej, MD
• Aj Surrette, LHAS
• Susan B. Palmer-Ansorg, PH.D. PLLC
• Susan Friedrich

• Orthodontics and Dentofacial Orthopedics Dentistry in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.