DR. DOUGLAS K SULLIVAN D.C.
NPI 1477619625
Chiropractor in Endwell, NY

Active since December 29, 2006Accepts Medicare Assignment
3660 GEORGE F HWY, ENDWELL, NY 13760(607) 754-5900(607) 754-3170 Get Directions Write a Review

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

About Dr. Douglas K Sullivan D.c. NPPES

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

DR. DOUGLAS K SULLIVAN D.C. (NPI 1477619625) is an individual chiropractor in Endwell, New York, licensed in New York (X010001) and active in the NPI registry since December 2006. He is a graduate of Life Chiropractic College - West (2000).

NPPES Registry Identity

NPI1477619625
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DOUGLAS K SULLIVANCredential: D.C.
Location Address3660 GEORGE F HWYEndwell, NY 13760-5932
Mailing Address3660 George F HwyEndwell, NY 13760-5932 · (607) 754-5900 · Fax (607) 754-3170
Fax(607) 754-3170
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2000
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477619625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X010001
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.
3660 GEORGE F HWY, Endwell, NY 13760

Other Identifiers 3

Medicare UPINU84335NY
Medicare ID-Type UnspecifiedBA0114NY · Group
Medicare ID-Type UnspecifiedRA1323NY · Individual

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas K Sullivan D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597755363
PECOS Enrollment IDI20040513001311

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.

Chiropractor
3660 GEORGE F HWY
ENDWELL, NY 13760
Chiropractor
3660 GEORGE F HWY
ENDWELL, NY 13760

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 Douglas Sullivan's NPI number?

The NPI number for Douglas Sullivan is 1477619625. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Douglas Sullivan located?

Douglas Sullivan practices at 3660 George F Hwy, Endwell, NY 13760. The listed phone number is (607) 754-5900.

What is Douglas Sullivan's specialty?

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

Is Douglas Sullivan enrolled in Medicare?

Yes. Douglas Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Douglas 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.