DR. DAREN T SULLIVAN DDS
NPI 1063649671
Dentist - General Practice in Fargo, ND

Q: What is Daren Sullivan's NPI number?

The NPI number for Daren Sullivan is 1063649671. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Q: What is Daren Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Daren Sullivan was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2009PECOS Enrolled

1231 27TH ST S STE C, FARGO, ND 58103(701) 232-6983(701) 239-9375 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Daren T Sullivan Dds NPPES

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

DR. DAREN T SULLIVAN DDS (NPI 1063649671) is an individual general practice provider in Fargo, North Dakota, licensed in North Dakota (2056) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063649671

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DAREN T SULLIVANCredential: DDS

Location Address1231 27TH ST S STE CFargo, ND 58103-8722

Mailing Address1231 27th St S Ste CFargo, ND 58103-8722 · (701) 232-6983 · Fax (701) 239-9375

Phone(701) 232-6983

Fax(701) 239-9375

Sole ProprietorNo

Enumeration DateJune 22, 2009

Last NPPES UpdateMay 17, 2016

✔ NPI 1063649671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ND · 2056

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.

1231 27TH ST S STE C, Fargo, ND 58103

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Other Identifiers 2

Medicaid1457270ND

Medicaid41504ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Daren T 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 58103 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

DR. COULTON DANGERFIELD

Dentist

1231 27TH ST S STE C
FARGO, ND 58103

Cass County (701) 232-6983

DR. PAUL JAMES TRONSGARD DDS

Dentist

1231 27TH ST S STE C
FARGO, ND 58103

Cass County (701) 232-6983

TRONSGARD AND SULLIVAN DDS PARTNERSHIP

Dentist

1231 27TH ST S STE C
FARGO, ND 58103

Cass County (701) 232-6983

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daren Sullivan's NPI number?

The NPI number for Daren Sullivan is 1063649671. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Daren Sullivan located?

Daren Sullivan practices at 1231 27th St S Ste C, Fargo, ND 58103. The listed phone number is (701) 232-6983.

What is Daren Sullivan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Daren Sullivan enrolled in Medicare?

Yes. Daren Sullivan is registered in the Medicare PECOS enrollment system.

What insurance does Daren Sullivan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Daren Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daren Sullivan was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.