Richard H Sullivan III

Primary specialty

DentistTaxonomy code 122300000X

License

5042 Issued in TN

Legal business name

RICHARD H SULLIVAN III

Doing business as

Sullivan Dental Partners

Practice address

5024 Harpeth Drive
Brentwood, TN 37027

Phone

(615) 373-1012

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Richard H Sullivan III

Title

Owner

Phone

(615) 373-1012

Specialties & licenses 2

Addresses

Other names 1

• Sullivan Dental Partners Doing business as

Locations

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1831548791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 HARPETH DRIVE",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 HARPETH DRIVE",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-373-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD H SULLIVAN III",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-373-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "5042",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "10036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Leandro Ribeiro
• Alexius Le Rice
• Kellye Nerren Rice, D.M.D.
• Mark Rice
• Patricia Rice
• Robin Richard, M.D.
• Osarugue Grace Richards, NP
• Laura Richardson, AU.D.
• Dorsey Andrews Rickard, MD
• Heather Keck Ridgway, DDS, MS

• Dentist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.