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SULLIVAN CHIROPRACTIC PC
NPI 1114100880
Chiropractor in Dubuque, IA

Active since December 17, 2007
2699 JOHN F KENNEDY RD, DUBUQUE, IA 52002(563) 556-8600(563) 556-8600 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sullivan Chiropractic Pc NPPES

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

SULLIVAN CHIROPRACTIC PC (NPI 1114100880) is a healthcare organization registered as a chiropractor in Dubuque, Iowa and active in the NPI registry since December 2007. The organization lists Samuel James Sullivan, Owner Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1114100880
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSULLIVAN CHIROPRACTIC PC
Location Address2699 JOHN F KENNEDY RDDubuque, IA 52002-2838
Mailing Address2699 John F Kennedy RdDubuque, IA 52002-2838 · (563) 556-8600 · Fax (563) 556-8600
Phone(563) 556-8600
Fax(563) 556-8600
Organization SubpartNo
Authorized OfficialSamuel James SullivanOwner Chiropractor · (563) 556-8600
Enumeration DateDecember 17, 2007
Last NPPES UpdateJune 27, 2008
✔ NPI 1114100880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in IA · 04001✔ Licensed in IA · A05477
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2699 JOHN F KENNEDY RD, Dubuque, IA 52002
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Other Identifiers 1

Medicare PINI16442IA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sullivan Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sullivan Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Sullivan, DC
Chiropractic
NPI 1902865496
2699 JOHN F KENNEDY RD
Dubuque, IA 52002
(563) 556-8600
✔ Accepts Medicare5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sullivan Chiropractic PC's NPI number?

The NPI number for Sullivan Chiropractic PC is 1114100880. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is Sullivan Chiropractic PC located?

Sullivan Chiropractic PC is located at 2699 John F Kennedy Rd, Dubuque, IA 52002. The listed phone number is (563) 556-8600.

What is Sullivan Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Sullivan Chiropractic PC enrolled in Medicare?

Yes. Sullivan Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sullivan Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Sullivan Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sullivan Chiropractic PC was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.