MRS. ANGELA MARIE SULLIVAN DDS
NPI 1154586220
Dentist in Kansas City, MO

Q: What is Angela Sullivan's NPI number?

The NPI number for Angela Sullivan is 1154586220. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Q: What is Angela Sullivan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Angela Sullivan enrolled in Medicare?

No. Angela Sullivan has opted out of Medicare through June 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Angela Sullivan was last updated on July 28, 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.

Active since July 28, 2008Opted out of Medicare · through Jun 15, 2027

4701 LOGAN AVE, KANSAS CITY, MO 64136(816) 350-1007(816) 350-1975 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Angela Marie Sullivan Dds NPPES

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

MRS. ANGELA MARIE SULLIVAN DDS (NPI 1154586220) is an individual dentist in Kansas City, Missouri, licensed in Missouri (2008014160) and active in the NPI registry since July 2008. She has opted out of Medicare through June 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154586220

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMRS. ANGELA MARIE SULLIVANCredential: DDS

Location Address4701 LOGAN AVEKansas City, MO 64136-1161

Mailing Address4606 Cambridge StKansas City, KS 66103-3525 · (816) 536-1481 · Fax (913) 432-0533

Phone(816) 350-1007

Fax(816) 350-1975

Sole ProprietorNo

Enumeration DateJuly 28, 2008

✔ NPI 1154586220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2008014160

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4701 LOGAN AVE, Kansas City, MO 64136

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Angela Marie Sullivan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 15, 2015 through June 15, 2027.

Opt-Out Effective DateJune 15, 2015

Opt-Out In Effect ThroughJune 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64136 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

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 6

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

DR. SAMUEL JOSEPH HUCKABEE D.D.S.

Dentist (General Practice)