Sullivan Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002865L Issued in PA

Legal business name

SULLIVAN CHIROPRACTIC CLINIC, P.C.

Practice address

3441 5TH Ave
North Versailles, PA 15137-2319

Phone

(412) 664-4477

Fax

(412) 664-7913

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony James Sullivan, D.C.NPI 1154429629

Title

President

Phone

(412) 664-4477

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony James Sullivan, D.C.

  • Chiropractor
  • North Versailles, PA
  • NPI 1154429629
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1992802276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 5TH AVE",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372319",
            "telephone_number": "412-664-4477",
            "fax_number": "412-664-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 5TH AVE",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372319",
            "telephone_number": "412-664-4477",
            "fax_number": "412-664-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-664-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002865L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001009548-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Family Eye Care, PLLC
• Dawn Anise Scott, O.D.
• Latonya Sherrill-Coulverson, FNP
• Charles S Sidun, DC
• Stephen S Markantone, DPM
• Anthony James Sullivan, D.C.
• Jessica Trent, LMFT
• Umoja With Nia, LLC
• Vizion Eyecare Services
• Wal-Mart Stores East LP

• Chiropractor in North Versailles, PA
• Providers in North Versailles, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.