DR. DAVID SULLIVAN DDS
NPI 1023359312
Dentist - General Practice in Mint Hill, NC

Active since March 11, 2013PECOS Enrolled
5833 PHYLISS LN, MINT HILL, NC 28227(704) 568-8010 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David Sullivan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID SULLIVAN DDS (NPI 1023359312) is an individual general practice provider in Mint Hill, North Carolina, licensed in North Carolina (9503) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023359312
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID SULLIVANCredential: DDS
Location Address5833 PHYLISS LNMint Hill, NC 28227-9031
Mailing Address5833 Phyliss LnMint Hill, NC 28227-9031 · (704) 568-8010
Sole ProprietorNo
Enumeration DateMarch 11, 2013
Last NPPES UpdateNovember 6, 2014
NPI 1023359312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 9503
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5833 PHYLISS LN, Mint Hill, NC 28227

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David Sullivan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5833 PHYLISS LN
MINT HILL, NC 28227
Dentist
5833 PHYLISS LN
MINT HILL, NC 28227
Dentist (General Practice)
5833 PHYLISS LN
MINT HILL, NC 28227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023359312, enumerated as an "individual" on March 11, 2013.

The provider is located at 5833 PHYLISS LN MINT HILL, NC 28227 and the phone number is (704) 568-8010.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.