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DR. RYAN JOEL SULLIVAN D.M.D.
NPI 1669733424
Dentist in Blasdell, NY

Active since June 07, 2012PECOS Enrolled
4154 MCKINLEY PKWY, BLASDELL, NY 14219(716) 649-2288 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Joel Sullivan D.m.d. NPPES

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

DR. RYAN JOEL SULLIVAN D.M.D. (NPI 1669733424) is an individual dentist in Blasdell, New York, licensed in New York (056760) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669733424
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RYAN JOEL SULLIVANCredential: D.M.D.
Location Address4154 MCKINLEY PKWYBlasdell, NY 14219-2995
Mailing Address3176 Abbott RdOrchard Park, NY 14127-1069 · (716) 827-1200
Phone(716) 649-2288
Sole ProprietorNo
Enumeration DateJune 7, 2012
Last NPPES UpdateMay 11, 2016
✔ NPI 1669733424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 056760
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4154 MCKINLEY PKWY, Blasdell, NY 14219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Joel Sullivan D.m.d. 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 14219 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 3

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

DR. DONALD WILLIAM FOIT D.C.
Chiropractor
4154 MCKINLEY PKWY, BOX 9
BLASDELL, NY 14219
Erie County (716) 646-6239
MS. DONNA M VOGT CNP
Nurse Practitioner
4154 MCKINLEY PKWY, SUITE 1200
BLASDELL, NY 14219
Erie County (716) 649-6500
DR. LAWRENCE JAMES GUGINO M.D.
Obstetrics & Gynecology
4154 MCKINLEY PKWY, STE 290, HAMBURG OB/GYN GROUP
BLASDELL, NY 14219
Erie County (716) 649-6500

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 Ryan Sullivan's NPI number?

The NPI number for Ryan Sullivan is 1669733424. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Ryan Sullivan located?

Ryan Sullivan practices at 4154 Mckinley Pkwy, Blasdell, NY 14219. The listed phone number is (716) 649-2288.

What is Ryan Sullivan's specialty?

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

Is Ryan Sullivan enrolled in Medicare?

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

What insurance does Ryan Sullivan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Ryan 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 Ryan Sullivan was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.