DR. JENNIFER CHANG SULLIVAN D.D.S., MSD
NPI 1356681654
Dentist - Periodontics in Lexington, MA
About Dr. Jennifer Chang Sullivan D.d.s., Msd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER CHANG SULLIVAN D.D.S., MSD (NPI 1356681654) is an individual periodontics provider in Lexington, Massachusetts, licensed in Massachusetts (1859858) and active in the NPI registry since February 2013. She has opted out of Medicare through August 17, 2027 and maintains a secondary practice location in Concord.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jennifer Chang Sullivan D.d.s., Msd 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 August 17, 2021 through August 17, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, MA 02420
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 Jennifer Sullivan's NPI number?
The NPI number for Jennifer Sullivan is 1356681654. It was assigned to this individual provider in the NPPES registry on February 22, 2013.
Where is Jennifer Sullivan located?
Jennifer Sullivan practices at 35 Bedford St Ste 20, Lexington, MA 02420. The listed phone number is (617) 468-8696.
What is Jennifer Sullivan's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Jennifer Sullivan enrolled in Medicare?
No. Jennifer Sullivan has opted out of Medicare through August 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jennifer Sullivan accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Jennifer 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 Jennifer Sullivan was last updated on October 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Jennifer Chang Sullivan, D.D.S., MSD · NPI 1356681654
Periodontics provider in Lexington, Massachusetts. Individual provider, active in the CMS NPPES registry since February 22, 2013.
## Identity
- **NPI:** 1356681654 (Entity type: Individual)
- **Enumerated:** February 22, 2013
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 1859858 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 35 BEDFORD ST STE 20, Lexington, MA 02420-4440
- **Phone:** (617) 468-8696
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 17, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** October 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356681654) · Data from the CMS NPPES public registry.