JOHN SULLIVAN (NPI# 1508086760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086760 |
| Entity Type | Individual |
| Full Name | JOHN SULLIVAN |
| Credential | D.M.D. |
| Practice Address |
1842 Beacon St Brookline MA 02445-1930 |
| Practice Telephone | 6175665445 |
| Practice Fax Number | 6177308482 |
| Mailing Telephone | 6175665445 |
| Mailing Fax Number | 6177308482 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
8957 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789027 | John Sullivan | Counselor | 1104 Cavalier Dr, Waukesha, WI 53186-6883 | 2020-07-31 |
| 1659820454 | John Christopher Sullivan | Counselor | 413 N Bridge St, Dewitt, MI 48820-8907 | 2016-09-22 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| 1962827808 | John Sullivan | Emergency Medicine | 92 Wood Cove Dr, Coventry, RI 02816-6614 | 2014-03-02 |
| 1225368145 | John Patrick Sullivan Jr. | Psychologist | 8 Bradford Ave, Newport, RI 02840-2202 | 2009-12-29 |
| 1679703425 | John Michael Sullivan | Dentist | 9770 Old Baymeadows Rd Ste 113, Jacksonville, FL 32256-7986 | 2009-07-14 |
| 1649484726 | John F Sullivan | Pharmacist | 44 Timber Ln, Methuen, MA 01844-4644 | 2007-05-09 |
| 1881812410 | John Michael Sullivan | Social Worker | 735 Requa St, Peekskill, NY 10566-4615 | 2007-04-20 |
| 1114049228 | John M Sullivan | Chiropractor | 3945 Us Highway 77, Corpus Christi, TX 78410-4531 | 2007-04-06 |
| 1457412306 | John J Sullivan | Dentist | 325 W White Mountain Blvd, Lakeside, AZ 85929-6875 | 2006-12-13 |
| Street Address |
1842 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003800905 | Brookline Hearing Services Inc | Audiologist-Hearing Aid Fitter | 1842 Beacon St, Suite #403, Brookline, MA 02445 | 2005-09-07 |
| 1588275549 | Catherine Paggi | Physical Therapist | 1842 Beacon St, Brookline, MA 02445-1930 | 2020-08-13 |
| 1285281592 | Jonathan Elcock | Physical Therapist | 1842 Beacon St, Brookline, MA 02445-1930 | 2019-08-21 |
| 1104364629 | Iveta Iontcheve-barehmi Dmd PC | Dentist | 1842 Beacon St, Ste 305, Brookline, MA 02445-1930 | 2017-02-03 |
| 1245687151 | First Choice Healthcare, Inc. | Hospice Care, Community Based | 1842 Beacon St, 203, Brookline, MA 02445-1930 | 2016-05-20 |
| 1528466927 | Paggi Physical Therapy & Sports Rehabilitation, Inc | Physical Therapist | 1842 Beacon St, Ste 207, Brookline, MA 02445-1930 | 2014-12-17 |
| 1649686593 | Jenna Hubbard Karcher | Audiologist | 1842 Beacon St, Suite #403, Brookline, MA 02445-1930 | 2014-07-10 |
| 1346654316 | Smile Institute PC | Dentist | 1842 Beacon St, Suite 401, Brookline, MA 02445-1930 | 2014-06-17 |
| 1235567462 | Suzanne Rakov | Hearing Instrument Specialist | 1842 Beacon St, Suite 403, Brookline, MA 02445-1930 | 2013-10-25 |
| 1386086213 | Karissa Rae Koster | Dentist | 1842 Beacon St, Suite 401, Brookline, MA 02445-1930 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861960270 | Southbridge Place Dental, P.C. | Dentist | 544 Southbridge St, Worcester, MA 01610-1716 | 2018-11-05 |
| 1851651368 | Louis M Abbey | Dentist | 25 1st St, 4th Floor, Cambridge, MA 02141-1802 | 2012-05-18 |
| 1275708455 | Devaki Sundararajan | Dentist | 100 E Newton St # G04, Oral Pathology Department, Boston, MA 02118-2308 | 2008-04-28 |
| 1538287859 | Peter Christopher Morris | Dentist | 400 Union Ave, Framingham, MA 01702-5889 | 2007-03-26 |
| 1295819217 | Mark A Lerman | Dentist | 1 Kneeland St Rm 646, Boston, MA 02111-1527 | 2006-10-25 |
| 1255441804 | Sadru P Kabani | Dentist | 100 E Newton St G-04, Bonston Univ of Dental Med, Dept of Oral & Maxillo Path, Boston, MA 02118-2308 | 2006-08-30 |
| 1902910094 | Vincent Paul Phillipino | Dentist | 16 Bramble Bush Dr, Falmouth, MA 02540-2325 | 2006-08-18 |
| 1609886720 | Dental Surgeons of Fall River, PC | Dentist | 180 Elsbree St, Fall River, MA 02720-7212 | 2006-08-09 |
| 1265442321 | Mark J Milano | Dentist | 516 Hawthorn St, Suite1 Fl 1, N Dartmouth, MA 02747-3733 | 2006-08-09 |
| 1154331395 | John A Marshall | Dentist | 180 Elsbree Street, Fall River, MA 02720 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.