Kent Sullivan

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

C127019 Issued in IA

Practice address

206 Main St SE
Bondurant, IA 50035-1048

Phone

(515) 250-9394

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K Squared Services Inc

  • Home Modifications Contractor
  • Bondurant, IA
  • NPI 1659168631
  NPD Authorized official

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1881406684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500350235",
            "telephone_number": "515-250-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MAIN ST SE",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351048",
            "telephone_number": "515-250-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KENT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IA",
            "license": "C127019",
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "IA",
            "license": "C127019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Segrainllc
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• Kayleigh Jo Sisson
• Ellen Marie Sneller, DDS
• Hannah Strachan, D.C.
• Thrive Chiropractic, LLC
• Shalee Torrence
• Heather A Weber, DO
• Wellness Connection of Iowa
• Matthew Whipple, DDS

• Home Modifications Contractor in Bondurant, IA
• Providers in Bondurant, IA by specialty
• Home Modifications Contractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.