DR. TIMOTHY P SULLIVAN D.D.S.
NPI 1396819215
Dentist in Crystal Lake, IL

Q: What is Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1396819215. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Timothy Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy 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.

Active since November 20, 2006PECOS Enrolled

370 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014(815) 459-2180(815) 459-2181 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Timothy P Sullivan D.d.s. NPPES

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

DR. TIMOTHY P SULLIVAN D.D.S. (NPI 1396819215) is an individual dentist in Crystal Lake, Illinois and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396819215

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TIMOTHY P SULLIVANCredential: D.D.S.

Location Address370 W TERRA COTTA AVECrystal Lake, IL 60014-3512

Mailing Address370 W Terra Cotta AveCrystal Lake, IL 60014-3512 · (815) 459-2180 · Fax (815) 459-2181

Phone(815) 459-2180

Fax(815) 459-2181

Sole ProprietorYes

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1396819215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

370 W TERRA COTTA AVE, Crystal Lake, IL 60014

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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. Timothy P Sullivan D.d.s. 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 60014 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 $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 2

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

AL-BARR SMILES, INC.

Dentist (General Practice)

370 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014

McHenry County (216) 258-6217

DR. AFSHEEN MUMTAZ OMMAR D.D.S.

Dentist

370 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014

McHenry County (216) 258-6217

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 Timothy Sullivan's NPI number?

The NPI number for Timothy Sullivan is 1396819215. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Timothy Sullivan located?

Timothy Sullivan practices at 370 W Terra Cotta Ave, Crystal Lake, IL 60014. The listed phone number is (815) 459-2180.

What is Timothy Sullivan's specialty?

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

Is Timothy Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy 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.