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KIT TUCKER SULLIVAN DDS
NPI 1174675706
Dentist in Richmond, VA

Active since January 16, 2007Opted out of Medicare · through Sep 23, 2026
6441 IRONBRIDGE ROAD, RICHMOND, VA 23234(804) 743-8166(804) 743-4818 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kit Tucker Sullivan Dds NPPES

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

KIT TUCKER SULLIVAN DDS (NPI 1174675706) is an individual dentist in Richmond, Virginia, licensed in Virginia (0401006213) and active in the NPI registry since January 2007. She has opted out of Medicare through September 23, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174675706
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKIT TUCKER SULLIVANCredential: DDS
Location Address6441 IRONBRIDGE ROADRichmond, VA 23234
Mailing Address1612 Huguenot RoadMidlothian, VA 23113 · (804) 794-9789 · Fax (804) 794-9762
Phone(804) 743-8166
Fax(804) 743-4818
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174675706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in VA · 0401006213
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.
6441 IRONBRIDGE ROAD, Richmond, VA 23234
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kit Tucker 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 September 23, 2016 through September 23, 2026.

Opt-Out Effective DateSeptember 23, 2016
Opt-Out In Effect ThroughSeptember 23, 2026Opt-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 23234 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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 5

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

DR. PETER BROOKS APPLEBY DDS
Dentist
6441 IRONBRIDGE ROAD
NORTH CHESTERFIELD, VA 23234
Chesterfield County (804) 743-8166
ERIN SHARKEY DDS
Dentist
6441 IRONBRIDGE ROAD
NORTH CHESTERFIELD, VA 23234
Chesterfield County (804) 743-8166
DR. KEITH ELDRIDGE D.D.S
Dentist
6441 IRONBRIDGE ROAD
NORTH CHESTERFIELD, VA 23234
Chesterfield County (804) 743-8166
MARY S KEITER DDS
Dentist (Periodontics)
6441 IRONBRIDGE ROAD
RICHMOND, VA 23234
Chesterfield County (804) 743-8166
KEVIN G SCANLAN DDS
Dentist
6441 IRONBRIDGE ROAD
RICHMOND, VA 23234
Chesterfield County (804) 743-8166

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 Kit Sullivan's NPI number?

The NPI number for Kit Sullivan is 1174675706. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Kit Sullivan located?

Kit Sullivan practices at 6441 Ironbridge Road, Richmond, VA 23234. The listed phone number is (804) 743-8166.

What is Kit Sullivan's specialty?

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

Is Kit Sullivan enrolled in Medicare?

No. Kit Sullivan has opted out of Medicare through September 23, 2026. 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.

When was this NPI record last updated?

The NPPES record for Kit Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.